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

Nicole Sarell Mallory, PT, DPT

Individual provider Physical Therapist · NPI 1861751463

Nicole Sarell Mallory, PT, DPT is a Physical Therapist in Private Practice in Collierville, Tennessee. Qualified in 2015, 11 years ago. Practices with Orthoone Sports Medicine and Orthopaedics PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

875 W Poplar Ave Ste 18
Collierville, TN 38017-2568
Phone: (901) 850-5742
Fax: (901) 850-5701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (TN)

Record details

NPI number1861751463
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 16, 2012
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Orthoone Sports Medicine And Orthopaedics Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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