MALLERY J JOHNSON DPT
NPI 1356236525
Physical Therapist in Duluth, MN

NPI Status: Active since June 10, 2025

Contact Information

4621 E SUPERIOR ST
DULUTH, MN
ZIP 55804
Phone: (218) 786-3550

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  • Individual
  • Female
  • Physical Therapist

About MALLERY JOHNSON

This page provides the complete NPI Profile along with additional information for Mallery Johnson, a provider established in Duluth, Minnesota with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1356236525 assigned on June 2025. The practitioner's primary taxonomy code is 225100000X with license number 13870 (MN). The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1356236525
Provider Name
MALLERY J JOHNSON DPT
Gender
Female
Entity Type
Individual
Location Address
4621 E SUPERIOR ST DULUTH, MN 55804
Location Phone
(218) 786-3550
Mailing Address
400 E 3RD ST DULUTH, MN 55805
Mailing Phone
(218) 786-8364
Is Sole Proprietor?
No
Enumeration Date
06-10-2025
Last Update Date
06-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
13870
License State
MN
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356236525
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23106431254
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 4 + 3 + 1 + 2 + 5 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1356236525 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104886977MS. SARAH ADEEN ZIRING PT
Individual
Physical Therapist4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1588693238 LIVINGSTONE CHUKWUEMEKA IGWE
Individual
Family Medicine4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1922037688 KENNETH LLOYD IRONS
Individual
Family Medicine4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1215967419 LOIS JEAN KUBOW
Individual
Physical Therapist4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1942230263 PATRICIA LYNN EARLEY
Individual
Nurse Practitioner (Family)4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 876-3550
1841225778MRS. ANNE ELISABETH SKADBERG MD
Individual
Family Medicine4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1639104078 SUSAN D MARINAC
Individual
Physical Therapist4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1023034105 STEVEN PETER PHILLIPSON
Individual
Family Medicine4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1205852076 HUGH PATRICK RENIER
Individual
Family Medicine4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1932276623 PENNY LYNN BENNETT
Individual
Physical Therapist4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1548351406 INGRID LOUISA NISSWANDT-LARSEN MD
Individual
Family Medicine4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1730521717 MOLLY C BACKSTROM NP
Individual
Nurse Practitioner (Family)4621 E SUPERIOR ST ESSENTIA HEALTH LAKESIDE CLINIC
DULUTH, MN 55804
(218) 786-3550
1518971118 ERIK J SATHER MD
Individual
Family Medicine4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1962428730 ANGELA L. REICHART PA
Individual
Physician Assistant4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1043319726MRS. MOLLY HERZAN BURTON P.T.
Individual
Physical Therapist4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1811666571 BRANSON ROBERT WETMORE DPT
Individual
Physical Medicine & Rehabilitation4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1649924523 PETER E. SANDELIN
Individual
Pharmacist (Ambulatory Care)4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3784
1760942221DR. JOSEPH E ZBARACKI DO
Individual
Family Medicine4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-8364
1497109755 CLAIRE R CAMPBELL M.D.
Individual
Family Medicine4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550
1871209015 TERESA CAROLINE ROCK DPT
Individual
Physical Therapist4621 E SUPERIOR ST
DULUTH, MN 55804
(218) 786-3550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356236525, enumerated in the NPI registry as an "individual" on June 10, 2025

The provider is located at 4621 E Superior St Duluth, Mn 55804 and the phone number is (218) 786-3550

The provider's speciality is Physical Therapist with taxonomy code 225100000X

This NPI record was last updated on June 10, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.