MALLORY V PEDEN MOT
NPI 1003424748
Occupational Therapist in Tupelo, MS

Active since July 20, 2020
960 COMMONWEALTH BLVD, TUPELO, MS 38804(662) 260-3789(662) 260-3790 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2023, Jul 20, 2020 (2 updates tracked since 2020).

About Mallory V Peden Mot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY V PEDEN MOT (NPI 1003424748) is an individual occupational therapist in Tupelo, Mississippi, licensed in Mississippi (PT3794) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1003424748
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMALLORY V PEDENCredential: MOT
Location Address960 COMMONWEALTH BLVDTupelo, MS 38804-9762
Mailing Address8205 Presidents DrHummelstown, PA 17036-8621 · (717) 839-2188 · Fax (717) 565-1104
Fax(662) 260-3790
Sole ProprietorNo
Enumeration DateJuly 20, 2020
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1003424748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MS · PT3794
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
960 COMMONWEALTH BLVD, Tupelo, MS 38804

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory V Peden Mot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Mallory Peden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
2319 HWY 145
Saltillo, MS 38866
  • Reassigned Medicare billing, Mississippi enrollment
  • 230 clinicians in this Medicare group
Physical Therapist
110 N WALMART DR, SUITE F
Louisville, MS 39339
  • Reassigned Medicare billing, Mississippi enrollment
  • 324 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
960 COMMONWEALTH BLVD
TUPELO, MS 38804
Physical Therapy Assistant
960 COMMONWEALTH BLVD
TUPELO, MS 38804
Occupational Therapist
960 COMMONWEALTH BLVD
TUPELO, MS 38804
Occupational Therapy Assistant
960 COMMONWEALTH BLVD
TUPELO, MS 38804
Occupational Therapist
960 COMMONWEALTH BLVD
TUPELO, MS 38804
Physical Therapist
960 COMMONWEALTH BLVD
TUPELO, MS 38804
Physical Therapist
960 COMMONWEALTH BLVD
TUPELO, MS 38804
Speech-Language Pathologist
960 COMMONWEALTH BLVD
TUPELO, MS 38804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Peden's NPI number?

The NPI number for Mallory Peden is 1003424748. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Mallory Peden located?

Mallory Peden practices at 960 Commonwealth Blvd, Tupelo, MS 38804. The listed phone number is (662) 260-3789.

What is Mallory Peden's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Mallory Peden enrolled in Medicare?

Yes. Mallory Peden is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mallory Peden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Peden reassigns Medicare benefits to 2 organizations: Dpti Elite Physical Therapy LLC (Saltillo, MS) and Drayer Physical Therapy Mississippi LLC (Louisville, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Peden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Peden accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Mallory Peden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Peden was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.