Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mallery Catherine Aiken, PT, DPT

Individual provider Pediatric Physical Therapist · NPI 1306479480

Dr. Mallery Catherine Aiken, PT, DPT is a Physical Therapist in Private Practice in Tucson, Arizona. Qualified in 2019, 7 years ago. Practices with Revolution Sport and Spine Therapy LLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

5977 E Grant Rd Ste 101
Tucson, AZ 85712-2369
Phone: (520) 822-8640
Fax: (520) 822-8641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1270 McConnell Dr Ste B, Decatur, GA 30033-3507 — (770) 892-6878

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT014500 (GA)

Record details

NPI number1306479480
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Revolution Sport And Spine Therapy Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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