Michelle O. Maliwat, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

9375 W Church St
Des Plaines, IL 60016-4271

Phone

(847) 824-5165

Fax

(847) 824-8038

NPI assigned

Aug 20, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advocate Health and Hospitals Corporation

  • PACE Provider Organization
  • Des Plaines, IL
  • NPI 1578942652
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1013100478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 W CHURCH ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164271",
            "telephone_number": "847-824-5165",
            "fax_number": "847-824-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 W CHURCH ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164271",
            "telephone_number": "847-824-5165",
            "fax_number": "847-824-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIWAT",
        "first_name": "MICHELLE",
        "middle_name": "O.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362169147-60635-01",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maine West School Based Health Center
• Mak Global Care LLC
• Mansour Vincent Makhlouf, MD
• Veronica Makos
• Elizabeth Makowski, LCSW
• Alexis Mall, LCSW
• Evarisa Maloku, APRN, FNP-C
• Rani Mammen
• Lisa Mandl, LCPC, NCC, CCTP
• Holly Eve Mandziara, PT

• Physical Therapist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.