Johntavis Mallary, PT
NPI 1932687886 · Physical Therapist · Burlington, NC
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Johntavis Mallary, PT is a Physical Therapist provider in Burlington, NC (NPI 1932687886).
Provider details
- NPI number
- 1932687886
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- P18256 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1991 Fordham Dr Ste 102Fayetteville, NC 28304-3774Phone: (910) 484-4653
- 900 S Franklin St Ste 201Wake Forest, NC 27587-2799Phone: (919) 556-1700
Registry dates
- Enumerated
- 2018-08-02
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Frequently asked questions
- What is Johntavis Mallary's NPI number?
- Johntavis Mallary's National Provider Identifier (NPI) is 1932687886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johntavis Mallary's specialty?
- Johntavis Mallary is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Johntavis Mallary located?
- Johntavis Mallary's practice location on file with NPPES is 1205 University Dr Unit 112, Burlington, NC 27215-8575.
- What is Johntavis Mallary's phone number?
- The practice phone number listed in the NPPES registry for Johntavis Mallary is (336) 542-5111.
- Does Johntavis Mallary accept Medicare?
- Johntavis Mallary is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Johntavis Mallary's NPI active?
- Yes — Johntavis Mallary's NPI (1932687886) is active in the NPPES registry as of the last update on 2026-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.