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

Mallory Fahnestock, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1265856173

Mallory Fahnestock, DPT is a Physical Therapist in Private Practice in Perryville, Missouri. Qualified in 2013, 13 years ago. Practices with Therapy Solutions LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
13
Licensed in
MO
In the registry since
2014
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

1506 W Saint Joseph St
Perryville, MO 63775-1504
Phone: (573) 517-7900
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 2014004288 (MO)

Record details

NPI number1265856173
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 12, 2014
Last updated in NPPESFebruary 12, 2014
Mailing address1506 W Saint Joseph St, Perryville, MO 63775-1504

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 Therapy Solutions Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare