Active NPIIndividual provider

Mallory R Johnston, PT, DPT

Physical Therapist in Moorestown, New Jersey

NPI Number1679085765
Practice location
740 Marne Hwy Ste 203, Moorestown, NJ 08057
Fax
856-914-1444
Last updated
February 26, 2019

Mallory R Johnston is a Physical Therapist based in Moorestown, NJ. Mallory R Johnston practices in Moorestown, NJ and has the professional credentials of PT, DPT. The NPI Number for Mallory R Johnston is 1679085765 and holds a License No. 40QA01760600 (NJ). The current practice location address for Mallory R Johnston is 740 Marne Hwy Ste 203, Moorestown, NJ 08057 and can be reached out via phone at 856-914-1400 and via fax at 856-914-1444.

Provider Profile Details

NPI Number
1679085765
Provider Name
Mallory R Johnston
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
740 Marne Hwy Ste 203, Moorestown, NJ 08057
Phone Number
856-914-1400
Fax Number
856-914-1444
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
October 30, 2017
Last Update Date
February 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
740 Marne Hwy Ste 203
Moorestown, NJ 08057
Zip
08057
Phone Number
856-914-1400
Fax Number
856-914-1444
Moorestown, NJ 08057Get directions →

Provider Business Mailing Address Details

Address
224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
City
Moorestown
State
NJ
Zip
08057-4602
Phone Number
856-677-4000
Fax Number
856-234-3014

License Information

License Number
40QA01760600
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mallory R Johnston, PT, DPT?

The NPI number of Mallory R Johnston, PT, DPT is 1679085765. It was assigned on October 30, 2017 and is currently active in the NPPES registry.

What is the specialty of Mallory R Johnston, PT, DPT?

Mallory R Johnston, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01760600.

Where does Mallory R Johnston, PT, DPT practice?

The practice location is 740 Marne Hwy Ste 203, Moorestown, NJ 08057. The office can be reached at 856-914-1400 (phone) or 856-914-1444 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679085765 directly on the NPPES registry website.

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