ROBERT MALLORY PT
NPI 1649341462
Physical Therapist in Modesto, CA

Active since November 13, 2006
4601 DALE RD, MODESTO, CA 95356(209) 735-4080 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert Mallory Pt NPPES

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

ROBERT MALLORY PT (NPI 1649341462) is an individual physical therapist in Modesto, California, licensed in California (PT20155) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1649341462
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameROBERT MALLORYCredential: PT
Location Address4601 DALE RDModesto, CA 95356-9718
Mailing Address1105 Springcreek DrModesto, CA 95355-4820
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1649341462 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 CA · PT20155
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.
4601 DALE RD, Modesto, CA 95356

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Mallory Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Robert Mallory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency Medicine
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Internal Medicine
4601 DALE RD
MODESTO, CA 95356
Surgery
4601 DALE RD, SUITE 4A5
MODESTO, CA 95356
Internal Medicine (Gastroenterology)
4601 DALE RD
MODESTO, CA 95356
Respiratory Therapist, Registered
4601 DALE RD
MODESTO, CA 95356
Pharmacist
4601 DALE RD
MODESTO, CA 95356

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 Robert Mallory's NPI number?

The NPI number for Robert Mallory is 1649341462. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Robert Mallory located?

Robert Mallory practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 735-4080.

What is Robert Mallory's specialty?

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

Is Robert Mallory enrolled in Medicare?

Yes. Robert Mallory is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Mallory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Mallory reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Mallory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Mallory was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.