| Mallory N Blassingham, DPT | |
|
209 N Union St, Byron, IL 61010-8626 | |
| (815) 234-5553 | |
| (815) 234-5557 |
| Full Name | Mallory N Blassingham |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 209 N Union St, Byron, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073373411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.028112 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ortho Rehab Specialists Pllc | 8527492354 | 13 |
| Provider Name | Ortho Rehab Specialists Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891330882 PECOS PAC ID: 8527492354 Enrollment ID: O20200102001046 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory N Blassingham, DPT 2662 Mcfarland Rd, Rockford, IL 61107-6806 Ph: (815) 227-1700 | Mallory N Blassingham, DPT 209 N Union St, Byron, IL 61010-8626 Ph: (815) 234-5553 |
Heather Marie Walden, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 206 W. Blackhawk Drive, Byron, IL 61010 Phone: 779-513-8230 Fax: 779-272-0132 | |
Mrs. Jenifer Elizabeth Druien, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 811 W 2nd St, Byron, IL 61010 Phone: 815-234-5898 | |
Mrs. Bridget L Johnson, PT OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 W Blackhawk Drive, Suite 1u, Byron, IL 61010 Phone: 815-234-5561 Fax: 815-234-5870 | |
Dr. Angela Pfeiffer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 W 2nd St Ste 1a, Byron, IL 61010 Phone: 815-645-9450 | |
Mr. Drew Alan Fitzanko, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 209 N. Union St., Byron, IL 61010 Phone: 815-234-5553 Fax: 815-234-5557 | |
Mr. Jonathan S Link, MPT OCS CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 W Blackhawk Drive, Suite 1ll, Byron, IL 61010 Phone: 815-234-5561 Fax: 815-234-5870 |