Individual provider · Type 1 NPI

Desiree Mailene Pena Mallett, PTA

Physical Therapy Assistant · Austin, TX

NPI number 1659200145 Active

Practice location

330 W Ben White Blvd
Austin, TX 78704-8095

Call (512) 730-4800 Map

Mailing address

148 Ravello St
Liberty Hill, TX 78642-2306

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2165191 (TX)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1659200145

Desiree Mailene Pena Mallett, PTA's National Provider Identifier is 1659200145, issued on May 19, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Austin, TX. The record was last updated on May 19, 2026.