Matthew David Mallory, DPT
NPI 1659835825ActiveIndividual· Physical Therapist· Grandville, MI
Physical Therapist (DPT) with Hulst Jepsen Physical Therapy Inc, practicing in Grandville, Michigan. Medicare paid $15,695 for services to 26 patients in 2024.
Overview
| NPI | 1659835825 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Jan 22, 2019 |
| Last updated in NPPES | Aug 2, 2021 |
| Certified by provider | Aug 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11564 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 802 across 11 procedure codes |
| Paid by Medicare | $15,695 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Hulst Jepsen Physical Therapy IncGrand Rapids, MI · 132 clinicians
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