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

Jacquelyn Rose Mallet, DPT

Individual provider Physical Therapist · NPI 1962243063

Jacquelyn Rose Mallet, DPT is a Physical Therapist in Private Practice in Spirit Lake, Idaho. Qualified in 2024, 2 years ago. Practices with Shellman Inc PA, a 45-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2024
What do these letters mean?
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

6186 W Maine St
Spirit Lake, ID 83869-0149
Phone: (208) 449-1596
Show map & directions

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

Additional practice locations (6)

  • 1917 N Lakewood Dr, Coeur D Alene, ID 83814-2634 — (208) 763-0485
  • 210 E Sherman Ave, Coeur D Alene, ID 83814-2750 — (208) 262-4539
  • 1765 W Golf Course Rd, Coeur D Alene, ID 83815-9033 — (208) 277-0795
  • 1172 W Hayden Ave, Hayden, ID 83835-8700 — (208) 762-3332
  • 1610 E Schneidmiller Ave, Post Falls, ID 83854-7065 — (208) 773-8111
  • 21950 E Country Vista Dr, Liberty Lake, WA 99019-6005 — (509) 558-8801

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-9060 (ID)

Record details

NPI number1962243063
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address1917 N Lakewood Dr, Coeur D Alene, ID 83814-2634

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Shellman Inc Pa — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Spirit Lake