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

Mallori Jemison, PT

Individual provider Physical Therapist · NPI 1205314994

Mallori Jemison, PT is a Physical Therapist in Private Practice in East Windsor, New Jersey. Qualified in 2018, 8 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
8
Licensed in
NJ, PA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

300 Princeton Hightstown Rd Ste 201
East Windsor, NJ 08520
Phone: (609) 426-4442
Fax: (609) 443-0910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 999 Old Eagle School Rd Ste 106, Wayne, PA 19087-1707 — (877) 407-3422
  • 999 Old Eagle School Rd Ste 106, Wayne, PA 19087-1707 — (877) 407-3422

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01899800 (NJ)
Physical Therapist Taxonomy 225100000X · Licence PT027120 (PA)

Record details

NPI number1205314994
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 3, 2018
Last updated in NPPESNovember 13, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Windsor