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

Luke T Mallory, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1417712589

Luke T Mallory, DPT is a Physical Therapist in Private Practice in Rathdrum, Idaho. Qualified in 2024, 2 years ago. Practices with River City Physical Therapy, a 4-clinician group 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

16658 N Highway 41
Rathdrum, ID 83858-6890
Phone: (208) 687-9195
Fax: (208) 687-9750
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PT-8974 (ID)

Record details

NPI number1417712589
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 19, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024

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 River City Physical Therapy — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount