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

Maryellen Halloran, DPT

Individual provider Physical Therapist · NPI 1245669845

Maryellen Halloran, DPT is a Physical Therapist in Private Practice in Durham, North Carolina. Qualified in 2013, 13 years ago. Practices with Ivyrehab North Carolina LLC, a 154-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

120 William Penn Plz
Durham, NC 27704-2150
Phone: (919) 220-5255
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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 P17521 (NC)

Record details

NPI number1245669845
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 4, 2013
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ivyrehab North Carolina Llc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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