Individual provider Active NPI

Mallory Elyse Leboeuf Stiles, PT,DPT

  • Physical Therapist
  • Abbeville, LA
National Provider Identifier
1386260602
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10639 Issued in LA
Practice address
3013 Veterans Memorial Dr Ste 104
Abbeville, LA 70510-4152
Phone
(337) 993-2766
Fax
(337) 993-2764
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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 10639 LA Primary

Addresses

Primary practice location

3013 Veterans Memorial Dr Ste 104
Abbeville, LA 70510-4152

Mailing address

983A E Lancaster Ave
Downingtown, PA 19335-3328
Phone (337) 993-2766

Other names 1

  • Mallory Elyse Leboeuf Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200707000974 LA Practitioner - Physical Therapist in Private Practice 1355764556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Therapy Solutions, LLCGroup PAC ID 8921383688, 37 clinicians

Practice addresses (Care Compare)

3524 Kaliste Saloom Rd
BLDG 2
Lafayette, LA 70508-7638
Phone (337) 993-2766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince Jun 23, 2020 Accepting new patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince Jun 23, 2020 Accepting new patients

Locations

3013 Veterans Memorial Dr
Ste 104
Abbeville, LA 70510
Phone (337) 385-5482

1209 Albertson Pkwy
Ste F
Broussard, LA 70518
Phone (337) 993-2766

401 N College Rd
Ste 1B
Lafayette, LA 70506
Phone (337) 993-2766

3524 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 993-2766

3524 Kaliste Saloom Rd
Ste 205
Lafayette, LA 70508
Phone (337) 993-2766

983A E Lancaster Ave
Downingtown, PA 19335
Phone (610) 594-2060

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1386260602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983A E LANCASTER AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353328",
            "telephone_number": "337-993-2766",
            "fax_number": "337-993-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 VETERANS MEMORIAL DR STE 104",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104152",
            "telephone_number": "337-993-2766",
            "fax_number": "337-993-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "MALLORY",
        "middle_name": "ELYSE LEBOEUF",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "LEBOEUF",
            "middle_name": "ELYSE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abbeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.