MALLORY ANN DOEDTMAN DPT
NPI 1982042461
Physical Therapist in Effingham, IL
About Mallory Ann Doedtman Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY ANN DOEDTMAN DPT (NPI 1982042461) is an individual physical therapist in Effingham, Illinois, licensed in Illinois (070.019727) and active in the NPI registry since June 2013. She is a graduate of Other (2012).
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.
Other Names 1
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
Mallory Ann Doedtman 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 Reassignments
2Medicare enrollment records show Mallory Doedtman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edwardsville, IL 62025
- Reassigned Medicare billing, Illinois enrollment
- 261 clinicians in this Medicare group
Belleville, IL 62220
- Reassigned Medicare billing, Illinois enrollment
- 308 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Doedtman's NPI number?
The NPI number for Mallory Doedtman is 1982042461. It was assigned to this individual provider in the NPPES registry on June 6, 2013. The provider is also known as Mallory Ann Althoff.
Where is Mallory Doedtman located?
Mallory Doedtman practices at 12704 E 1975th Ave, Effingham, IL 62401. The listed phone number is (217) 821-4715.
What is Mallory Doedtman's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mallory Doedtman enrolled in Medicare?
Yes. Mallory Doedtman 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 organizations bill Medicare for Mallory Doedtman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Doedtman reassigns Medicare benefits to 2 organizations: Empowerme Rehabilitation Illinois, LLC (Edwardsville, IL) and Empowerme Wellness Kansas City, LLC (Belleville, IL). Each 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 Doedtman'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 Doedtman was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.