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

Mr. Brian Christopher Mallon, DPT

Individual provider Physical Therapist · NPI 1770745465

Mr. Brian Christopher Mallon, DPT is a Physical Therapist in Private Practice in Kennett Square, Pennsylvania. Qualified in 2008, 18 years ago. Practices with Ati Holdings, LLC, a 439-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and South Carolina.

Years since qualifying
18
Licensed in
PA, SC
In the registry since
2008
Specialties on file
2
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

826 E Baltimore Pike Unit 9
Kennett Square, PA 19348-1870
Phone: (610) 335-1410
Fax: (610) 444-3505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4500 Stuart St, Columbia, SC 29207-5700 — (803) 751-2321

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT027777 (PA)
Physical Therapist Taxonomy 225100000X · Licence 5753 (SC)

Record details

NPI number1770745465
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 25, 2008
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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