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Mallory Van De Graff, PTA

Physical Therapy Assistant in Salt Lake City, UT · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124652193

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Registry record

Entity type Individual (Type 1)
Name Mallory Van De Graff
Credential PTA
Sex Female
Practice address 1952 E 7000 S, Salt Lake City, UT, 84121
Phone (801) 942-3311
Enumeration date Feb 27, 2020
Last updated in NPPES Feb 27, 2020

Taxonomy & licenses

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Other identifiers

Identifier Type State Issuer
110977728019 Other UT PTA LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1124652193 active?
Yes, as of the latest NPPES snapshot, NPI 1124652193 is active (record last updated 2020-02-27).
How do I verify Mallory Van De Graff's NPI record?
Cross-check NPI 1124652193 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-27.