MALLORY RAE
NPI 1063385698
Physical Therapist in Shreveport, LA

Active since September 29, 2025
1501 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Rae NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY RAE (NPI 1063385698) is an individual physical therapist in Shreveport, Louisiana, licensed in Louisiana (12179) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1063385698
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMALLORY RAE
Location Address1501 KINGS HWYShreveport, LA 71103-4228
Mailing Address2605 Rosedale PlBossier City, LA 71111-3458
Sole ProprietorNo
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1063385698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in LA · 12179
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1501 KINGS HWY, Shreveport, LA 71103

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Rae's NPI number?

The NPI number for Mallory Rae is 1063385698. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Mallory Rae located?

Mallory Rae practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0000.

What is Mallory Rae's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Mallory Rae was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.