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

Mr. Roland Feliciano Mallare

Individual provider Physical Therapy Assistant · NPI 1235466350

Mr. Roland Feliciano Mallare is a Physical Therapy Assistant in Paxton, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
Specialties on file
2

Practice location Address checks out

1001 E Pells St
Paxton, IL 60957-1300
Phone: (217) 379-4361
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.005217 (IL)
Physical Therapy Assistant Taxonomy 225200000X · Licence 160005217 (IL)

Record details

NPI number1235466350
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 10, 2009
Last updated in NPPESApril 16, 2015

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