DR. MALLORY WILSON RICKARD – Physical Therapist, NPI 1033723259

DR. MALLORY WILSON RICKARD is a healthcare provider. based in Birmingham, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PTH9813 (AL). The NPI Number for DR. MALLORY WILSON RICKARD is 1033723259

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. MALLORY WILSON RICKARD
NPI
1033723259
Phone
(205) 263-2770
Address
3125 INDEPENDENCE DR STE 300B
Enumeration Date
4 September 2020
Last Update Date
23 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2052632770
Graduation Year
2019 (7 years ago)
PAC ID
1254751720
Group Practice PAC ID
3870584089
Professional Enrollment ID
I20201022000403
Address ID
AL352094168BI3125XDRXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for DR. MALLORY WILSON RICKARD

  • 3125 INDEPENDENCE DR STE 300B

    BIRMINGHAM, AL 352094168

    Phone: (205) 263-2770

    Fax: (205) 263-0994

    Type: Mailing

  • 4 OFFICE PARK CIR STE 217

    MOUNTAIN BRK, AL 352232674

    Phone: (205) 263-2770

    Fax: (205) 263-0994

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201022000403IPhysical Therapist In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes14322$0
97530Therapy procedure using functional activities10318$0
97535Training for self-care or home management, each 15 minutes8320$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care2611$0
97161Evaluation for physical therapy, typically 20 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 35209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870584089View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
-AL

Reviews

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Frequently asked questions

What is the standard ID for DR. MALLORY WILSON RICKARD in the U.S.?
In the U.S., DR. MALLORY WILSON RICKARD is identified by NPI 1033723259.
Should I treat DR. MALLORY WILSON RICKARD as an active provider?
Patients and plans typically see DR. MALLORY WILSON RICKARD as active in the national extract.
What type of care does DR. MALLORY WILSON RICKARD provide?
DR. MALLORY WILSON RICKARD's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MALLORY WILSON RICKARD?
DR. MALLORY WILSON RICKARD is associated with Birmingham, Alabama in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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