Mallory Reed Brown, DPT
Physical Therapist in Fairmont, WV. Individual provider (NPI-1).
NPI number1225936859
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1225936859
- Entity type
- Individual (NPI-1)
- Name
- Mallory Reed Brown
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2026
- Certification date
- Oct 26, 2026
- Last updated
- Oct 26, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 005012 | WV | Yes |
Practice location
1509 Fairmont AveFairmont, WV 26554-2135
Phone 304-363-0050 · Fax 304-363-0048
Mailing address
1509 Fairmont AveFairmont, WV 26554-2135
Phone 304-363-0050 · Fax 304-363-0048
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 72 Physical Therapist providers in Fairmont · All 1,904 providers in Fairmont
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