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

Mallory N Blassingham, DPT

Individual provider Physical Therapist · NPI 1073373411

Mallory N Blassingham, DPT is a Physical Therapist in Private Practice in Byron, Illinois. Qualified in 2023, 3 years ago. Practices with Ortho Rehab Specialists PLLC, a 13-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
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

209 N Union St
Byron, IL 61010-8626
Phone: (815) 234-5553
Fax: (815) 234-5557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.028112 (IL)

Record details

NPI number1073373411
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address2662 McFarland Rd, Rockford, IL 61107-6806

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 Ortho Rehab Specialists Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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