Nathaniel Mark Mailloux, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046438 Issued in NY

Practice address

65 Belmont Ave
West Babylon, NY 11704-6435

Phone

(603) 716-6530

NPI assigned

Oct 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Universus Physical Therapy PLLCGroup PAC ID 5193980159, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Universus Physical Therapy PLLC

  • Physical Therapist
  • Huntington, NY
  • NPI 1124394457
  Medicare reassignment Care Compare group NPD
• New York Physical and Occupational Therapy Services, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631
  Medicare reassignment NPD
• The Traveling Physical Therapist

  • Physical Therapist
  • Dix Hills, NY
  • NPI 1750847752
  Medicare reassignment NPD

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1013517788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BELMONT AVE",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046435",
            "telephone_number": "603-716-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BELMONT AVE",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046435",
            "telephone_number": "603-716-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILLOUX",
        "first_name": "NATHANIEL",
        "middle_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoila Rosa Lynch
• Nicole Lyons, RN
• M&L Pharmacy Inc Dba Belmont Drugs and Surgical
• Denise M Macdonald, REGISTERED NURSE
• Roseme Maignant
• Colleen Anne Maio, MS,SLP-CCC
• Brian Christopher Maire, B.A.
• Pierangelie Maldonado, LPN
• Alana Malek
• Adeel Malik, DO

• Physical Therapist in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.