MALLORY V PEDEN MOT
NPI 1003424748
Occupational Therapist in Tupelo, MS
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
Specialties & Licenses
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
2Medicare 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.
Saltillo, MS 38866
- Reassigned Medicare billing, Mississippi enrollment
- 230 clinicians in this Medicare group
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.
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.