Mallory Martlock, DPT
NPI 1851121412ActiveIndividual· Physical Therapist· Wake Forest, NC
Physical Therapist (DPT) in Wake Forest, North Carolina, trained at Duke University School of Medicine (class of 2024). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1851121412 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Aug 7, 2024 |
| Last updated in NPPES | Aug 7, 2024 |
| Certified by provider | Aug 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P23397 | NC |
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 (NC) |
|---|
Education and affiliations
| Medical school | Duke University School of Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Orthopedic Physical Therapy Associates LLCWake Forest, NC · 10 clinicians
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All 96 physical therapists in Wake Forest · All physical therapists in North Carolina