Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Boackle Tasseff, PT

Individual provider Physical Therapist · NPI 1235821679

Mallory Boackle Tasseff, PT is a Physical Therapist in Private Practice in Hoover, Alabama. Qualified in 2017, 9 years ago. Practices with St Vincents Ambulatory Healthcare Network LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
9
Licensed in
AL
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

7191 Cahaba Valley Rd Ste 102
Hoover, AL 35242-6507
Phone: (205) 408-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTH8787 (AL)

Record details

NPI number1235821679
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 24, 2023
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Vincents Ambulatory Healthcare Network Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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