Mallory Lent, DPT

Individual provider Active NPI Physical Therapist · Chico, CA

NPI 1164035622 · NPPES record last updated Oct 4, 2023

Key facts

NPI
1164035622
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
298903 (CA)
Practice address
111 Raley Blvd Ste 140
Chico, CA 95928-8351
Phone
(530) 898-0842
Fax
(530) 898-0844
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians Network (628 clinicians)

Practice addresses (Care Compare)

111 Raley Blvd
Suite 140
Chico, CA 95928-8351
Phone (530) 342-5776

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100 (apm)
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20201005000657 CA Practitioner - Physical Therapist in Private Practice 5092134460 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current
since Oct 9, 2023
Accepting new patients
Adventist Health Physicians Network Current
since Oct 9, 2023
Accepting new patients
Butte Premier Physical Therapy Inc Physical Therapist Current
since Sep 14, 2020
Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

125 Raley Blvd
Chico, CA 95928
Phone (530) 891-8220

111 Raley Blvd
Ste 140
Chico, CA 95928
Phone (530) 342-5776

6283 Clark Rd
Ste 13
Paradise, CA 95969
Phone (530) 898-0842

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 298903 CA Yes

Addresses

Primary practice location

111 Raley Blvd Ste 140
Chico, CA 95928-8351

Mailing address

111 Raley Blvd Ste 140
Chico, CA 95928-8351
Phone (530) 898-0842

Other providers in Chico, CA

All providers in Chico, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.