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

Nathaniel Mark Mailloux, PT

Individual provider Physical Therapist · NPI 1013517788

Nathaniel Mark Mailloux, PT is a Physical Therapist in Private Practice in West Babylon, New York. Qualified in 2020, 6 years ago. Practices with Universus Physical Therapy PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

65 Belmont Ave
West Babylon, NY 11704-6435
Phone: (603) 716-6530
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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 046438 (NY)

Record details

NPI number1013517788
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 30, 2020
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020
Mailing address65 Belmont Ave, West Babylon, NY 11704-6435

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Universus Physical Therapy Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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