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

Mr. Scott Mallory

Individual provider Physical Therapist · NPI 1720152622

Mr. Scott Mallory is a Physical Therapist in Private Practice in Roseville, California. Qualified in 1991, 35 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

1600 Eureka Rd
Roseville, CA 95661-3027
Phone: (916) 784-5444
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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 17766 (CA)

Record details

NPI number1720152622
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESJanuary 3, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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