Individual provider Active NPI

Alaina Cope Mallard, PT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1336540541
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9570 Issued in TN
Practice address
9430 Park West Blvd Ste 230
Knoxville, TN 37923
Phone
(865) 560-8550
Fax
(865) 560-8551
NPI assigned
Sep 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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 9570 TN Primary

Addresses

Primary practice location

9430 Park West Blvd Ste 230
Knoxville, TN 37923

Mailing address

PO Box 32569
Knoxville, TN 37930-2569
Phone (865) 694-7725

Other practice location 1

576 Ft Loudoun Med Ctr Dr Ste 100A
Lenoir City, TN 37772-5676
Phone (865) 988-8796

Other practice location 2

961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832
Phone (865) 483-1906

Other practice location 3

1819 Clinch Ave Ste 100A
Knoxville, TN 37916-2435
Phone (865) 633-0259

Other practice location 4

988 Oak Ridge Tpke Ste 100A
Oak Ridge, TN 37830-6919
Phone (865) 425-4388

Other identifiers 2

IdentifierTypeStateIssuer
Q031525MedicaidTN
9570OtherTNSTATE PT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9570TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients
Tennessee Orthopaedic Clinics PC Physical Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alainac.mallard.p2@direct.toa.nextgenshare.com

Organizations & group practices 2

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": "1410048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1336540541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32569",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302569",
            "telephone_number": "865-694-7725",
            "fax_number": "865-560-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-560-8550",
            "fax_number": "865-560-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 Ft Loudoun Med Ctr Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725676",
            "country_code": "US",
            "telephone_number": "865-988-8796",
            "fax_number": "865-988-8798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "961 Oak Ridge Tpke",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378308832",
            "country_code": "US",
            "telephone_number": "865-483-1906",
            "fax_number": "865-483-3807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 Clinch Ave Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162435",
            "country_code": "US",
            "telephone_number": "865-633-0259",
            "fax_number": "865-524-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "988 Oak Ridge Tpke Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306919",
            "country_code": "US",
            "telephone_number": "865-425-4388",
            "fax_number": "865-425-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLARD",
        "first_name": "ALAINA",
        "middle_name": "COPE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-07",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q031525",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PT LICENSE",
            "identifier": "9570",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.