Mallory Hertz
NPI 1578019212ActiveIndividual· Physical Therapist· Dakota Dunes, SD
Physical Therapist in Dakota Dunes, South Dakota, licensed in SD, with an NPI issued in September 2016. Medicare paid $26,057 for services to 89 patients in 2024.
Overview
| NPI | 1578019212 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 1, 2016 |
| Last updated in NPPES | Sep 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1919 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IA); Practitioner - Physical Therapist in Private Practice (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 89 |
|---|---|
| Services billed | 1,235 across 9 procedure codes |
| Paid by Medicare | $26,057 |
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