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

Mallory Petrus

Individual provider Physical Therapist · NPI 1467748731

Mallory Petrus is a Physical Therapist in Private Practice in Lowville, New York. Qualified in 2011, 15 years ago. Practices with Body Mechanix Physical Therapy PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2011

Practice location Address checks out

6584 E Road Ext
Lowville, NY 13367-1544
Phone: (315) 783-4929
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1207072 (TX)

Record details

NPI number1467748731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2011
Last updated in NPPESFebruary 12, 2019
Mailing address5848 Snyder Dr, Lockport, NY 14094-9497

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Body Mechanix Physical Therapy Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lowville