Mrs. Mallory Withiam
Mrs. Mallory Withiam is registered under 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
Practice location Address checks out
3283 Motor AveLos Angeles, CA 90034-3709 Not confirmed with CMS for 10 years — call before visiting
Phone: (310) 845-9690
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1568872885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 8, 2014 |
| Last updated in NPPES | February 2, 2016 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| 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 |
Medicare patients and services, 2024
| Medicare patients | 393 |
|---|---|
| Services billed | 5,401 |
| Average patient age | 74 |
Colleagues at Complete P T Pool and Land Physical Therapy Inc
- Darien Gray, DPT Orthopedic Physical Therapist · Los Angeles, CA
- Jennifer Heinzel, PT, DPT Physical Therapist · Los Angeles, CA
- Stephanie Jun Physical Medicine & Rehabilitation Physician · Los Angeles, CA
- Josh Matsunaga, PT, DPT Physical Therapist · Los Angeles, CA
- Brandon Modafari, PT Physical Therapist · Cincinnati, OH
- Michael Ortlieb, DPT Physical Therapist · Los Angeles, CA
- Jennifer Sakauye, DPT Physical Therapist · Los Angeles, CA
- Sean David Schoonover, PT, DPT Physical Therapist · Torrance, CA
- Shalmali Santosh Thosar, PT Physical Therapist · San Bernardino, CA
- Grant Uyemura Physical Therapist · Los Angeles, CA
- Victoria Uyemura, PT, DPT Physical Therapist · Irvine, CA
- Glendy Yeung Physical Therapist · Los Angeles, CA
Other providers in Los Angeles
-
Vert Sports PT LP
12400 Santa Monica Blvd Ste B, Los Angeles, CA 90025-2522 · (310) 264-8385
-
Victory Performance and Physical Therapy
11461 W Washington Blvd Ste 1, Los Angeles, CA 90066-6014 · (310) 775-0558
-
Dr. Jason Whitman, PT, DPT
12207 Santa Monica Blvd, Los Angeles, CA 90025-2517 · (323) 936-7525
-
Brianne Wickland, DPT
11825 Major St Ste 107, Los Angeles, CA 90230-6356 · (310) 915-6100
-
Thomas Wolfe, PT, DPT
5102 Wilshire Blvd Ste F, Los Angeles, CA 90036-4313 · (323) 853-8898
-
Kelvin Wong
3283 Motor Ave, Los Angeles, CA 90034-3709 · (310) 845-9690
-
Kevin Hyun Yu, DPT
3000 Dolores St, Los Angeles, CA 90065 · (818) 369-7620
-
Dr. Mark Christopher Zipser, DPT
1640 Marengo St, Los Angeles, CA 90033-1036 · (323) 865-1200