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

Mary Stoller, PT, DPT

Individual provider Physical Therapist · NPI 1922457274

Mary Stoller, PT, DPT is a Physical Therapist in Private Practice in South Bend, Indiana. Qualified in 2014, 12 years ago. Practices with McDonald Physical Therapy, an 8-clinician group. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1005 N Hickory Rd
South Bend, IN 46615-3723
Phone: (574) 233-5754
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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 05011538A (IN)

Record details

NPI number1922457274
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 8, 2016
Last updated in NPPESJune 8, 2016
Mailing address1005 N Hickory Rd, South Bend, IN 46615-3723

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice McDonald Physical Therapy — 8 clinicians
Accepts Medicare assignment Not indicated

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