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

Mallory Lightfoot

Individual provider Physical Therapist · NPI 1366277733

Mallory Lightfoot is a Physical Therapist in Private Practice in Metairie, Louisiana. Qualified in 2024, 2 years ago. Practices with Baudry Therapy Center, an 8-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
2
Licensed in
LA
In the registry since
2024
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Practice location Address checks out

2620 Metairie Lawn Dr
Metairie, LA 70002-6107
Phone: (504) 293-2454
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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 11884 (LA)

Record details

NPI number1366277733
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2024
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Baudry Therapy Center — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Metairie