Nicole Mallery, - Physical Therapist in San Diego, CA

Nicole Mallery, is a Physical Therapist based in San Diego, California. Nicole Mallery is licensed to practice in California (license number 296327) and her current practice location is 9909 Mira Mesa Blvd Ste 260, San Diego, California. She can be reached at her office (for appointments etc.) via phone at (858) 385-9400.

NPI number for Nicole Mallery is 1053877803 and her current mailing address is 4851 Brighton Ave Apt L, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053877803.

Contact Information

Nicole Mallery,
9909 Mira Mesa Blvd Ste 260,
San Diego, CA 92131-1064
(858) 385-9400
(858) 203-8415

Map and Direction




Healthcare Provider's Profile

Full NameNicole Mallery
GenderFemale
SpecialityPhysical Therapist
Location9909 Mira Mesa Blvd Ste 260, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053877803
  • Provider Enumeration Date: 02/18/2019
  • Last Update Date: 02/18/2019

Medical Identifiers

Medical identifiers for Nicole Mallery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053877803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 296327 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Mallery is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Mallery,
4851 Brighton Ave Apt L,
San Diego, CA 92107-2583

Ph: (602) 380-3282
Nicole Mallery,
9909 Mira Mesa Blvd Ste 260,
San Diego, CA 92131-1064

Ph: (858) 385-9400

Reviews and Comments


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