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

Mrs. Mallory Withiam

Individual provider Orthopedic Physical Therapist · NPI 1568872885

Mrs. Mallory Withiam is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2013, 13 years ago. Practices with Complete P T Pool and Land Physical Therapy Inc, a 15-clinician group and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
13
Licensed in
CA, PA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3283 Motor Ave
Los Angeles, CA 90034-3709
Phone: (310) 845-9690
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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 43215 (CA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT023283 (PA)

Record details

NPI number1568872885
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2014
Last updated in NPPESFebruary 2, 2016

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 Complete P T Pool And Land Physical Therapy Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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