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

Individual provider Physical Therapist · NPI 1982042461

Mallory Ann Doedtman, DPT is a Physical Therapist in Private Practice in Effingham, Illinois. Qualified in 2012, 14 years ago. Practices with Empowerme Rehabilitation Illinois LLC, a 367-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2013
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

12704 E 1975th Ave
Effingham, IL 62401-6874
Phone: (217) 821-4715
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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 070.019727 (IL)

Record details

NPI number1982042461
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 6, 2013
Last updated in NPPESJune 6, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Empowerme Rehabilitation Illinois Llc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Effingham