DR. MATTHEW DAVID MALLORY DPT
NPI 1659835825
Physical Therapist in Grandville, MI
About Dr. Matthew David Mallory Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MATTHEW DAVID MALLORY DPT (NPI 1659835825) is an individual physical therapist in Grandville, Michigan, licensed in Tennessee (11564) and active in the NPI registry since January 2019. He is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
- 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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Matthew David Mallory Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Mallory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49508
- Reassigned Medicare billing, Michigan enrollment
- 149 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRANDVILLE, MI 49418
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 Matthew Mallory's NPI number?
The NPI number for Matthew Mallory is 1659835825. It was assigned to this individual provider in the NPPES registry on January 22, 2019.
Where is Matthew Mallory located?
Matthew Mallory practices at 5570 Wilson Ave SW Suite A, Grandville, MI 49418. The listed phone number is (616) 855-1495.
What is Matthew Mallory's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Matthew Mallory enrolled in Medicare?
Yes. Matthew Mallory is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Matthew Mallory's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Mallory reassigns Medicare benefits to Hulst Jepsen Physical Therapy Inc (Grand Rapids, MI). 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 Matthew Mallory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Mallory accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company list Matthew Mallory as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Matthew Mallory was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Matthew David Mallory, DPT · NPI 1659835825
Physical Therapist provider in Grandville, Michigan. Individual provider, active in the CMS NPPES registry since January 22, 2019.
## Identity
- **NPI:** 1659835825 (Entity type: Individual)
- **Enumerated:** January 22, 2019
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 11564 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5570 WILSON AVE SW, SUITE A, Grandville, MI 49418
- **Phone:** (616) 855-1495 · **Fax:** (616) 855-1496
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Hulst Jepsen Physical Therapy Inc (NPI 1609957760, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1659835825) · Data from the CMS NPPES public registry.