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

Dr. Mallory Michelle Goodrich, DPT

Individual provider Physical Therapist · NPI 1417507179

Dr. Mallory Michelle Goodrich, DPT is a Physical Therapist in Private Practice in Portland, Maine. Qualified in 2019, 7 years ago. Practices with Dirigo Physical Therapy and Performance, a 7-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
7
Licensed in
ME
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

561 Congress St
Portland, ME 04101-3308
Phone: (207) 536-4968
Fax: (207) 213-4116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5484 (ME)

Record details

NPI number1417507179
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 16, 2019
Last updated in NPPESApril 25, 2024
Certification dateApril 9, 2024

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 Dirigo Physical Therapy And Performance — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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