Active NPI
Amy Lynne Malone, MPT
- Physical Therapist
- Gulfport, MS
National Provider Identifier
1700923869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3406
- Practice address
- 11010 David St
Gulfport, MS 39503-3481 - Phone
- (228) 832-8327
- Fax
- (228) 832-8328
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3835 | AL | |
| Physical Therapist | 225100000X | PT3406 | MS | Primary |
Addresses
Primary practice location
11010 David St
Gulfport, MS 39503-3481
Mailing address
PO Box 5776
Vancleave, MS 39565-5776
Phone (228) 826-1696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of South Alabama College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11010 David St
Gulfport, MS 39503-3481
Phone (228) 832-8327
4387 Leisure Time Dr
Diamondhead, MS 39525-3242
Phone (228) 255-3533
P O Box
Suite 7066
Gulfport, MS 39506-7066
Merit-based Incentive Payment System (MIPS)
- Final score
- 20.93 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 69.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3835 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horrell Townsend, DO, PLLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- Gulfport, MS
- NPI 1447439070
-
- Adult Medicine Physician
- Gulfport, MS
- NPI 1861703720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1700923869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5776",
"city": "VANCLEAVE",
"state": "MS",
"postal_code": "395655776",
"telephone_number": "228-826-1696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11010 DAVID ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033481",
"telephone_number": "228-832-8327",
"fax_number": "228-832-8328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "AMY",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3835",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.