MARY GRACE DISTRETTI DPT
NPI 1215375126
Physical Therapist in Atoka, TN
About Mary Grace Distretti Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY GRACE DISTRETTI DPT (NPI 1215375126) is an individual physical therapist in Atoka, Tennessee, licensed in Tennessee (9655) and active in the NPI registry since June 2013.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Grace Distretti Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Distretti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bartlett, TN 38134
- Reassigned Medicare billing, Tennessee enrollment
- 641 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.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 3
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 Mary Distretti's NPI number?
The NPI number for Mary Distretti is 1215375126. It was assigned to this individual provider in the NPPES registry on June 13, 2013. The provider is also known as Mary Grace Yeager Dpt.
Where is Mary Distretti located?
Mary Distretti practices at 10992 Highway 51 S Ste 100, Atoka, TN 38004. The listed phone number is (901) 837-5678.
What is Mary Distretti's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mary Distretti enrolled in Medicare?
Yes. Mary Distretti is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Distretti's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Distretti reassigns Medicare benefits to Agilitas Usa, Inc. (Bartlett, TN). The 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 Mary Distretti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Distretti was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.