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

Individual provider Physical Therapist · NPI 1821495516

Richard Stanley Mallon, DPT is a Physical Therapist in Private Practice in Locust Valley, New York. Qualified in 2014, 12 years ago. Practices with Jefferson Sports and Physical Therapy PC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

146 Birch Hill Rd
Locust Valley, NY 11560-1833
Phone: (516) 759-9717
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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 038461 (NY)

Record details

NPI number1821495516
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 25, 2014
Last updated in NPPESNovember 25, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Jefferson Sports And Physical Therapy Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Locust Valley