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MALLORY WALKER AU.D.
NPI 1699694174
Audiologist in Watertown, NY

Active since July 10, 2026
53-59 PUBLIC SQ STE 202, WATERTOWN, NY 13601(315) 786-3225 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mallory Walker Au.d. NPPES

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

MALLORY WALKER AU.D. (NPI 1699694174) is an individual audiologist in Watertown, New York, licensed in New York (003391) and active in the NPI registry since July 2026. She maintains 2 additional practice locations and is a graduate of Other (2026).

NPPES Registry Identity

NPI1699694174
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameMALLORY WALKERCredential: AU.D.
Location Address53-59 PUBLIC SQ STE 202Watertown, NY 13601-2674
Mailing Address25810 Contessa LnWatertown, NY 13601-5890 · (315) 786-3225
Phone(315) 786-3225
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1699694174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in NY · 003391
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
53-59 PUBLIC SQ STE 202, Watertown, NY 13601
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Secondary Practice Locations 2

Location 126000 US Route 11Evans Mills, NY 13637-3320 · Phone (315) 755-1600
Location 2544 Towne DrFayetteville, NY 13066-1331 · Phone (315) 637-8800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Walker Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426515347
PECOS Enrollment IDI20260811000023

Medicare Billing Reassignment

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

East Coast Audiology And Physical Therapy, PLLC
Same address
Physical Therapist
53-59 PUBLIC SQ STE 202
Watertown, NY 13601
  • Reassigned Medicare billing, New York enrollment
  • 17 clinicians in this Medicare group
NPI 1376048652 (315) 786-3225

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 8

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

MONIKA BAERBEL DOCTEUR PT
Physical Therapist
53-59 PUBLIC SQ STE 202
WATERTOWN, NY 13601
Jefferson County (315) 786-3225
EAST COAST AUDIOLOGY AND PHYSICAL THERAPY, PLLC
Physical Therapist
53-59 PUBLIC SQ STE 202
WATERTOWN, NY 13601
Jefferson County (315) 786-3225
HEIDI ROSE LUDWIG AU.D
Audiologist
53-59 PUBLIC SQ STE 202
WATERTOWN, NY 13601
Jefferson County (315) 785-3225
YUEJUN WANG AU.D
Audiologist
53-59 PUBLIC SQ STE 202
WATERTOWN, NY 13601
Jefferson County (315) 786-3225
JEFFREY H KAPLAN PT
Physical Therapist
53-59 PUBLIC SQ STE 202
WATERTOWN, NY 13601
Jefferson County (315) 786-3225
JOSHUA GRIMSHAW
Hearing Instrument Specialist
53-59 PUBLIC SQ STE 202
WATERTOWN, NY 13601
Jefferson County (315) 786-3225
LINDSEY WENCL PT, DPT
Physical Therapist
53-59 PUBLIC SQ STE 202
WATERTOWN, NY 13601
Jefferson County (315) 786-3225
DR. CHIH-WEN LIN AU.D.
Audiologist
53-59 PUBLIC SQ STE 202
WATERTOWN, NY 13601
Jefferson County (315) 786-3225

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 Walker's NPI number?

The NPI number for Mallory Walker is 1699694174. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Where is Mallory Walker located?

Mallory Walker practices at 53-59 Public Sq Ste 202, Watertown, NY 13601. The listed phone number is (315) 786-3225.

What is Mallory Walker's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Mallory Walker enrolled in Medicare?

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

Which organization bills Medicare for Mallory Walker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Walker reassigns Medicare benefits to East Coast Audiology And Physical Therapy, PLLC (Watertown, NY). 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 Mallory Walker'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 Mallory Walker was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.