Individual provider Active NPI

Tommi Suszan Malavolti, D.C.

  • Chiropractor
  • Hillsville, VA
National Provider Identifier
1487747978
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556182 Issued in VA
Practice address
1070 N Main Street
Hillsville, VA 24343
Phone
(276) 730-9555
Fax
(276) 730-9557
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556182 VA Primary

Addresses

Primary practice location

1070 N Main Street
Hillsville, VA 24343

Mailing address

3644 Pipers Gap
Galax, VA 24333
Phone (276) 233-4735

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602000658 VA Practitioner - Chiropractic 1658353925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Chiropractic Clinic P.C.Group PAC ID 5890880678, 2 clinicians

Practice addresses (Care Compare)

1135 W Lee Hwy
Wytheville, VA 24382-1525
Phone (276) 227-0414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Chiropractic Clinic P.C. Chiropractor CurrentSince Aug 2, 2009 Accepting new patients
Tuck Clinic of Chiropractic Chiropractor Past Accepting new patients
Tuck Chiropractic Corporation PastSince Dec 15, 2024 Accepting new patients
Tuck Chiropractic Corporation Chiropractor PastSince Jun 26, 2017 Accepting new patients

Locations

1135 W Lee Hwy
Wytheville, VA 24382
Phone (276) 227-0414

Organizations & group practices 4

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487747978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 PIPERS GAP",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "24333",
            "telephone_number": "276-233-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N MAIN STREET",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "24343",
            "telephone_number": "276-730-9555",
            "fax_number": "276-730-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVOLTI",
        "first_name": "TOMMI",
        "middle_name": "SUSZAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.