Mallory Elizabeth Amani, PT in Herndon, VA - Medicare Physical Therapist Provider

Mallory Elizabeth Amani, PT is a medicare enrolled "Physical Therapist" provider in Herndon, Virginia. Her current practice location is 150 Elden St Ste 250, Herndon, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 435-0090.

Mallory Elizabeth Amani is licensed to practice in Virginia (license number 2305006568) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922256064.

Contact Information

	Mallory Elizabeth Amani, PT
	150 Elden St Ste 250, Herndon, VA 20170-4856
	(703) 435-0090
	(703) 787-8402

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Elizabeth Amani
Gender	Female
Speciality	Physical Therapist
Location	150 Elden St Ste 250, Herndon, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922256064
Provider Enumeration Date: 09/03/2008
Last Update Date: 09/03/2008

Medicare PECOS Information:

PECOS PAC ID: 2860883790
Enrollment ID: I20220103000554

Medical Identifiers

Medical identifiers for Mallory Elizabeth Amani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922256064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305006568 (Virginia)	Primary

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 Elizabeth Amani allows following entities to bill medicare on her behalf.

Provider Name	Alexandria Sports, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659967768 PECOS PAC ID: 9931019684 Enrollment ID: O20211111000433

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 Elizabeth Amani 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 Elizabeth Amani, PT 150 Elden St Ste 250, Herndon, VA 20170-4856 Ph: (703) 435-0090	Mallory Elizabeth Amani, PT 150 Elden St Ste 250, Herndon, VA 20170-4856 Ph: (703) 435-0090

Reviews and Comments

Physical Therapist in Herndon, VA

Krysia Marie Angle, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Elden St Ste 242, Herndon, VA 20170 Phone: 703-689-3737 Fax: 703-689-3889
Mrs. Susan Kim Spar, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Elden St, Suite 242, Herndon, VA 20170 Phone: 703-689-3737 Fax: 703-689-3889
Jessica Barrera, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13019 Worldgate Dr, Herndon, VA 20170 Phone: 703-870-2450 Fax: 703-870-2451
Mrs. Nicole Leonie Fainsan, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Elden St, Suite 270, Herndon, VA 20170 Phone: 571-340-1922
Gayathri Jagadeesan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2120 Wordsworth Ct Apt 202, Herndon, VA 20170 Phone: 571-266-6677
Progressive Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 416 Elden St, Herndon, VA 20170 Phone: 443-917-2951
Erica L Marchessault, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 150 Elden St, Suite 242, Herndon, VA 20170 Phone: 703-689-3737 Fax: 703-689-3889

Mallory Elizabeth Amani, PT - Medicare Physical Therapist in Herndon, VA