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TODD MALONE PT
NPI 1851654222
Physical Therapist in Sylacauga, AL

Active since June 20, 2012Accepts Medicare Assignment
1035 W FORT WILLIAMS ST, SYLACAUGA, AL 35150(256) 404-1931 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Todd Malone Pt NPPES

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

TODD MALONE PT (NPI 1851654222) is an individual physical therapist in Sylacauga, Alabama, licensed in Alabama (PTH5126) and active in the NPI registry since June 2012. He is a graduate of Other (2007).

NPPES Registry Identity

NPI1851654222
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTODD MALONECredential: PT
Location Address1035 W FORT WILLIAMS STSylacauga, AL 35150-2301
Mailing Address3140 Old Birmingham HwySylacauga, AL 35150-8306 · (256) 404-1931
Phone(256) 404-1931
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 20, 2012
Last NPPES UpdateDecember 16, 2022
NPPES CertifiedDecember 16, 2022
✔ NPI 1851654222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in AL · PTH5126
Definition
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.
1035 W FORT WILLIAMS ST, Sylacauga, AL 35150
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Todd Malone Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486800851
PECOS Enrollment IDI20120831000177

Medicare Billing Reassignment

Medicare enrollment records show Todd Malone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Star Physical Therapy LLC
Same address
Physical Therapy
1035 W FORT WILLIAMS ST
Sylacauga, AL 35150
  • Reassigned Medicare billing, Alabama enrollment
  • 3 clinicians in this Medicare group
NPI 1558624825 (256) 404-1931

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 6

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
2,884 services76 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
789 services62 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
609 services43 patients
Application of ultrasound, each 15 minutes 97035
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
469 services46 patients
Application of mechanical traction 97012
Mechanical traction is a therapy method often used to alleviate back and neck pain. It involves a special machine that gently stretches your spine, reducing pressure on your discs and nerves. This process can help improve mobility, and relieve discomfort.
105 services13 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
40 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

STAR PHYSICAL THERAPY LLC
Clinic/Center (Physical Therapy)
1035 W FORT WILLIAMS ST
SYLACAUGA, AL 35150
Talladega County (256) 404-1931
MR. THOMAS BRYANT KEITH PHYSICAL THERAPIST
Physical Therapist
1035 W FORT WILLIAMS ST
SYLACAUGA, AL 35150
Talladega County (256) 249-4701
MR. MARTIN ROBERT STEWART PT, DPT
Physical Therapist
1035 W FORT WILLIAMS ST
SYLACAUGA, AL 35150
Talladega County (256) 249-4701

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 Todd Malone's NPI number?

The NPI number for Todd Malone is 1851654222. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Todd Malone located?

Todd Malone practices at 1035 W Fort Williams St, Sylacauga, AL 35150. The listed phone number is (256) 404-1931.

What is Todd Malone's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Todd Malone enrolled in Medicare?

Yes. Todd Malone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Todd Malone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Malone reassigns Medicare benefits to Star Physical Therapy LLC (Sylacauga, AL). 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 Todd Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Malone accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Todd Malone 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 Todd Malone was last updated on December 16, 2022. 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.