Active NPI
Mallorie Lyles, DPT
- Physical Therapist
- Pleasant View, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13738
- Practice address
- 2536 Highway 49 E Ste 130
Pleasant View, TN 37146-7160 - Phone
- (615) 746-1565
- Fax
- (615) 746-1614
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13738 | TN | Primary |
Addresses
Primary practice location
2536 Highway 49 E Ste 130
Pleasant View, TN 37146-7160
Mailing address
PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446631 | Medicaid | TN |
Other names 1
- Mallorie Sweat
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240827002308 | TN | Practitioner - Physical Therapist in Private Practice | 9739628397 | Reassigns benefits to 2 organizations |
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
- Agilitas USA, Inc
Practice addresses (Care Compare)
103 S Y SQ
Selmer, TN 38375-1739
Phone (731) 982-1102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13738 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Results-Ast JV, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Star Physical Therapy LP | Past | Accepting new patients | |
| Star Physical Therapy LP | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
103 S Y Sq
Selmer, TN 38375
Phone (731) 645-6100
2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080
Organizations & group practices 7
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.
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
-
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1699403006
-
- Physical Therapy Clinic/Center
- McKinney, TX
- NPI 1659954931
-
- Rehabilitation Clinic/Center
- Bolivar, TN
- NPI 1417404351
-
- Physical Therapist
- Caruthersville, MO
- NPI 1073375861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1285301382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681478",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370681478",
"telephone_number": "615-591-6590",
"fax_number": "615-591-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2536 HIGHWAY 49 E STE 130",
"city": "PLEASANT VIEW",
"state": "TN",
"postal_code": "371467160",
"telephone_number": "615-746-1565",
"fax_number": "615-746-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLES",
"first_name": "MALLORIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446631",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MALLORIE",
"last_name": "SWEAT",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pleasant View, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.