OrganizationActive
Mindful Medicine, PLLC
NPI 1609255363 · Physical Medicine & Rehabilitation Physician · Lexington, KY
Provider details
- NPI number
- 1609255363
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Debora Tallio, Owner(859) 687-6070
- License
- 39006 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2134 Nicholasville Rd
Suite 12
Lexington, KY 40503-2521
Phone: (859) 687-6070
Fax: (859) 687-6071
Street-level locationGet directions
Mailing address
2134 Nicholasville Rd
Lexington, KY 40503-2521
Registry dates
- Enumerated
- 2015-05-27
- Last updated
- 2015-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.