Vivianne Elizabeth Mallett, PTA, CES

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2036 Issued in NH

Practice address

24 Old Etna Rd
Lebanon, NH 03766-1937

Phone

(844) 570-5714

NPI assigned

May 19, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1669302097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 JONES HILL RD",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037483311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 OLD ETNA RD",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661937",
            "telephone_number": "844-570-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETT",
        "first_name": "VIVIANNE",
        "middle_name": "ELIZABETH",
        "credential": "PTA, CES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "2036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Jane Makar
• Stewart Robert Malave Ramos
• David Jonathan Malenka, M.D.
• Matthew S Maliszewski, CRNA
• Haney Mallemat, MD
• Meghan Elizabeth Malloy, MD
• Ekrem Maloku, M.D.
• Lisabeth Leach Maloney, M.D.
• Robert Maloney, PHARMD
• William Maloney, R.PH

• Physical Therapy Assistant in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Physical Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.