MALYNDA ANN CARRUTH PT, DPT
NPI 1366559304
Physical Therapist in Lawrenceville, GA

NPI Status: Active since August 24, 2006

Contact Information

455 PHILIP BLVD
BLDG 100, SUITE 160
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 985-0238
Fax: (678) 985-0136

Recently Updated NPI Information
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 14
Physical Therapist
Accepts Insurance
Accepts Medicare Approved Payment

About MALYNDA CARRUTH

This page provides the complete NPI Profile along with additional information for Malynda Carruth, a provider established in Lawrenceville, Georgia with a medical specialization in Physical Therapist and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1366559304 assigned on August 2006. The practitioner's primary taxonomy code is 225100000X with license number PT003475 (GA). The provider is registered as an individual and her NPI record was last updated July 2025.

NPI: 1366559304
Provider Name: MALYNDA ANN CARRUTH PT, DPT
Gender: Female
Entity Type: Individual
Location Address: 455 PHILIP BLVD BLDG 100, SUITE 160 LAWRENCEVILLE, GA 30046
Location Phone: (678) 985-0238
Location Fax: (678) 985-0136
Mailing Address: 8823 PRODUCTION LN OOLTEWAH, TN 37363
Mailing Phone: (423) 238-7217
Mailing Fax: (678) 985-0136
Medical School Name: OTHER
Graduation Year: 2012
Is Sole Proprietor?: No
Enumeration Date: 08-24-2006
Last Update Date: 07-22-2025
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Location Map

Secondary Locations

1017 Fording Island Rd Ste F-101
Bluffton, SC 29910
(843) 815-2563

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code

225100000X

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

License No.

PT003475

License State

Taxonomy Description

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

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.

PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	4021 (SC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Alliant Health Plans, Inc.

SoloCare Bronze EPO HDHP 8050 10004 - EPO
SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
SoloCare Standard Exp Bronze EPO 10008 - EPO
SoloCare Standard Gold EPO 10006 - EPO
SoloCare Standard Platinum EPO 10005 - EPO
SoloCare Standard Silver EPO 10007 - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Malynda Carruth is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

PECOS PAC ID: 143225896
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20180411000909
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	6	6	5	5	9	3	0	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	12	6	10	5	18	3	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 0 + 5 + 1 + 8 + 3 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4									4

The NPI number 1366559304 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.