Mallory Rose Nichols, DPT in Huntsville, AL - Medicare Physical Therapy Provider

Mallory Rose Nichols, DPT is a medicare enrolled "Physical Therapist" provider in Huntsville, Alabama. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Sixfourthree, Llc and her current practice location is 4715 Whitesburg Dr Se, Huntsville, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 881-5151.

Mallory Rose Nichols is licensed to practice in Alabama (license number PTH5864) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235442948.

Contact Information

	Mallory Rose Nichols, DPT
	4715 Whitesburg Dr Se, Huntsville, AL 35802-1632
	(256) 881-5151
	(256) 880-3939

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Rose Nichols
Gender	Female
Speciality	Physical Therapy
Experience	14 Years
Location	4715 Whitesburg Dr Se, Huntsville, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mallory Rose Nichols graduated from medical school in 2010

NPI Data:

NPI Number: 1235442948
Provider Enumeration Date: 07/22/2010
Last Update Date: 02/25/2021

Medicare PECOS Information:

PECOS PAC ID: 6709900509
Enrollment ID: I20100831000846

Medical Identifiers

Medical identifiers for Mallory Rose Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235442948	NPI	-	NPPES
1003819608	Other	AL	GROUP NPI
529917620	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTH5864 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sixfourthree, Llc	7719957976	33

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mallory Rose Nichols allows following entities to bill medicare on her behalf.

Provider Name	North Alabama Ent Associates
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437279601 PECOS PAC ID: 5597744748 Enrollment ID: O20040720000529

Provider Name	Sixfourthree, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174780753 PECOS PAC ID: 7719957976 Enrollment ID: O20040727000866

Provider Name	Therafit, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063421857 PECOS PAC ID: 1557390671 Enrollment ID: O20080826000733

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Rose Nichols is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mallory Rose Nichols, DPT 1908 Flint Rd Se, Decatur, AL 35601-6031 Ph: (256) 340-9708	Mallory Rose Nichols, DPT 4715 Whitesburg Dr Se, Huntsville, AL 35802-1632 Ph: (256) 881-5151

Reviews and Comments

Physical Therapist in Huntsville, AL

Dr. Lindsey Elise Lamm, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2075 Max Luther Dr Nw, Huntsville, AL 35810 Phone: 256-852-5600 Fax: 256-852-6722
Michelle T Nesin Hunt, PT, OCS, FCFMT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1267 Enterprise Way Nw Ste B, Huntsville, AL 35806 Phone: 256-713-1872 Fax: 256-713-1873
Jason Lockman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4601 Whitesburg Dr Se, Huntsville, AL 35802 Phone: 256-883-1734
Kaylee Rambo Perry, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4601 Whitesburg Dr Se Ste 102, Huntsville, AL 35802 Phone: 256-883-1734 Fax: 256-883-1735
Fourroux Therapy Services, L.l.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2743 Bob Wallace Ave Sw, Huntsville, AL 35805 Phone: 256-534-8672 Fax: 256-539-9755
Mr. Jonathan R Zecher, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7061 Hwy 72 W, Suite B, Huntsville, AL 35806 Phone: 256-261-3531 Fax: 256-715-7889
Gina Porter, Physical Therapist Medicare: Medicare Enrolled Practice Location: 927 Franklin St Se, Huntsville, AL 35801 Phone: 256-539-2728 Fax: 256-539-2666

Mallory Rose Nichols, DPT - Medicare Physical Therapist in Huntsville, AL