NICOLE SARELL MALLORY (PT, DPT) – Physical Therapist, NPI 1861751463
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN
Provider Addresses for NICOLE SARELL MALLORY (PT, DPT)
PO BOX 306393
NASHVILLE, TN 372306393
Phone: (615) 373-1350
Fax: (615) 373-7116
Type: Mailing
875 W POPLAR AVE STE 18
COLLIERVILLE, TN 380172568
Phone: (901) 850-5742
Fax: (901) 850-5701
Type: Location
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: 2020-07-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200707000755 | I | Physical Therapist In Private Practice | TN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37230)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | AL | 97001 | Physical therapy evaluation | 27 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TN | |
| - | TN | |
| Orthopedic Surgery | TN | |
| - | TN | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | MS | |
| Nurse Practitioner | TN | |
| - | MS | |
| Orthopedic Surgery | TN | |
| - | MS |
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