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

Mallory Herrick

Individual provider Physical Therapist · NPI 1639944838

Mallory Herrick is a Physical Therapist in Private Practice in Dorchester, Massachusetts. Qualified in 2023, 3 years ago. Practices with Elliott Physical Therapy, Inc, a 59-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
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Practice location Address checks out

960 William T Morrissey Blvd
Dorchester, MA 02122-3242
Phone: (617) 506-7210
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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 27258 (MA)

Record details

NPI number1639944838
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address960 William T Morrissey Blvd, Dorchester, MA 02122-3242

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Elliott Physical Therapy, Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dorchester