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

Mallory Elizabeth Cusumano, NP

Individual provider Adult Health Nurse Practitioner · NPI 1740797398

Mallory Elizabeth Cusumano, NP is a Nurse Practitioner in Chesterfield, Missouri. Qualified in 2017, 9 years ago. Practices with Physical Therapy Spine and Sports Medicine LLC, a 122-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

224 S Woods Mill Rd Ste 330S
Chesterfield, MO 63017-3497
Phone: (143) 576-7013
Fax: (314) 576-4047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2018004643 (MO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2018004643 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740797398
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 4, 2018
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Physical Therapy Spine And Sports Medicine Llc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Chesterfield