April W Mallette

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT3979 Issued in MS

Practice address

503 Constitution Dr
Iuka, MS 38852-8201

Phone

(662) 424-9500

Fax

(662) 424-9592

NPI assigned

Feb 1, 2007

Last updated

Oct 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-Vista Rehab, Inc.Group PAC ID 0345390308, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Tri-Vista Rehab, Inc

  • Physical Therapist
  • Tupelo, MS
  • NPI 1982799516
  Medicare reassignment Care Compare group NPD
• Tri-Vista Rehab, Inc

  dba TriVista Rehab at Community Development Inc.

  • Rehabilitation Clinic/Center
  • Richton, MS
  • NPI 1265025522
  NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1265579684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CONSTITUTION DR",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388528201",
            "telephone_number": "662-424-9500",
            "fax_number": "662-424-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CONSTITUTION DR",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388528201",
            "telephone_number": "662-424-9500",
            "fax_number": "662-424-9592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90A Clark St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388044812",
            "country_code": "US",
            "telephone_number": "662-205-4282",
            "fax_number": "662-269-1971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLETTE",
        "first_name": "APRIL",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "PT3979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00654282",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macy Renee Lambert, PCSS
• Rebecca Lambert, R.N.
• Rhonda Ivy Lewis
• Stevie Nicole Ligon, BS
• Natalie Mallard
• Angie Manahan
• Theresa M Massey, FNP
• Andrew Blake McCaulley, FNP-BC
• Amy C McDeavitt
• Randy L McDuffy

• Specialist in Iuka, MS
• Providers in Iuka, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.