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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1023138237

Dr. Michael Keith Mallow, MD is a Physical Medicine and Rehabilitation in Philadelphia, Pennsylvania. Graduated from Rutgers New Jersey Medical School in 2004, 22 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Trained at
Rutgers New Jersey Medical School
Licensed in
PA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

25 S 9th Street 1st Fl
Philadelphia, PA 19107-4408
Phone: (215) 955-1200
Fax: (215) 923-6808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence MD436445 (PA)

Record details

NPI number1023138237
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESSeptember 26, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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