Individual provider Active NPI

Mallory Schmidt, PT, DPT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1306479464
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
54631 Issued in AL
Practice address
1140 Eagletree LN SE
Huntsville, AL 35801
Phone
(256) 883-0636
NPI assigned
Feb 18, 2020
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 54631 AL Primary

Addresses

Primary practice location

1140 Eagletree LN SE
Huntsville, AL 35801

Mailing address

2611 Greenwood Dr SE
Decatur, AL 35601-6730
Phone (256) 318-9521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326003994 AL Practitioner - Physical Therapist in Private Practice 7012346083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Physiotherapy, LLCGroup PAC ID 4284940339, 22 clinicians

Practice addresses (Care Compare)

7061 Hwy 72 W
Suite B
Huntsville, AL 35806-2959
Phone (256) 261-3531

Merit-based Incentive Payment System (MIPS)

Final score
72.3 of 100Reported as group
Quality
48.65
Improvement activities
40
Cost
76.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54631ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Physiotherapy, LLC CurrentSince Mar 2, 2020 Accepting new patients

Locations

4031 Balmoral Dr SW
#B
Huntsville, AL 35801
Phone (256) 883-0636

7061 Highway 72 W
Ste B
Huntsville, AL 35806
Phone (256) 261-3531

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1306479464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 GREENWOOD DR SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016730",
            "telephone_number": "256-318-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EAGLETREE LN SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-883-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "MALLORY",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "54631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.