Individual provider Active NPI

Rachael Vallone, DPT, PT

  • Physical Therapist
  • St Simons Island, GA
National Provider Identifier
1013647049
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP038987T Issued in GA
Practice address
212 Retreat VLG
Saint Simons Island, GA 31522-2403
Phone
(912) 638-1444
Fax
(912) 638-0077
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP038987T GA Primary
Physical Therapist 225100000X PT38677 FL

Addresses

Primary practice location

212 Retreat VLG
Saint Simons Island, GA 31522-2403

Mailing address

PO Box 949
Rome, GA 30162-0949
Phone (912) 638-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118001162 MD Practitioner - Physical Therapist in Private Practice 4385023415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

161 Thomas Johnson Dr
Frederick, MD 21702-4314
Phone (301) 694-8311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38677FLMDPhysical Therapist
CP038987TGAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 15, 2025 Accepting new patients
Internal Medicine & Pediatric Associates CurrentSince Aug 15, 2005 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 15, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Apr 1, 2021 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Jan 5, 2025 Accepting new patients

Locations

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

161 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 579-7811

6919 Old Canton Rd
Ridgeland, MS 39157
Phone (601) 940-0555

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1013647049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "912-638-1444",
            "fax_number": "912-638-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 RETREAT VLG",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222403",
            "telephone_number": "912-638-1444",
            "fax_number": "912-638-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLONE",
        "first_name": "RACHAEL",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP038987T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.