Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNTAVIS LAMAR MALLARY, PT
ActiveJOHNTAVIS LAMAR MALLARY, PT is a Physical Therapy Assistant healthcare provider located in BURLINGTON, North Carolina. NPI 1932687886 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BURLINGTON, NC
Registration Details
- NPI Number
- 1932687886
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2018 (8.0487302755015 yrs)
- Last Updated
- Jan 21, 2026
- License
-
P18256 (NC)
Practice Information
- Address
-
1205 UNIVERSITY DR UNIT 112BURLINGTON, NC, 272158575Browse NC providers · Browse ZIP 27215
- Phone
- 3365425111
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BURLINGTON, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. RUTH DORFFELD STOUT | PT | 1285623397 |
| MR. CHRIS A. CRUSAN | PT | 1295793198 |
| MR. PETER L GREEN | DPT | 1568410512 |
| MR. DAVID MOORE HARRINGTON | PT | 1881645943 |
| MR. JAMES SCOTT RUSSELL | MPT | 1851343453 |
| MRS. BETSY JOHNSTON SIMPSON | PT | 1861430084 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.