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

Mallory Blanck

Individual provider Physical Therapist · NPI 1588511869

Mallory Blanck is a Physical Therapist in Private Practice in Indianapolis, Indiana. Qualified in 2013, 13 years ago. Practices with Anew Therapy and Wellness LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
13
Licensed in
IN
In the registry since
2026
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Practice location Address checks out

7510 Rosegate Dr
Indianapolis, IN 46237-8301
Phone: (317) 889-9300
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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 05011189A (IN)

Record details

NPI number1588511869
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2026
Last updated in NPPESMarch 14, 2026
Certification dateMarch 14, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Anew Therapy And Wellness Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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