Jerome C Malone, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

JM002302 Issued in MI

Practice address

206 Page Ave
Jackson, MI 49201-2418

Phone

(517) 783-6670

Fax

(517) 783-5310

NPI assigned

Apr 3, 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)

Enrolled

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023139441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492040791",
            "telephone_number": "517-783-6670",
            "fax_number": "517-783-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PAGE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012418",
            "telephone_number": "517-783-6670",
            "fax_number": "517-783-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "JEROME",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "JM002302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "650C857040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devin Birsingh Malik, MD
• Muhammad Reebal Malik, M.B.B.S
• Sarah Malinda, DDS
• Kathleen Renee Malkiewicz
• Cynthia Joan Malloch, LLPC
• Samantha Marie Malone
• Tina M Maloney, PHARMD, RPH
• Lezlie Malson, F.N.P.-C.
• Mark Shahan Manalp, PTA
• Manchester Family Chiropractic Center PLC

• Physical Therapist in Jackson, MI
• Providers in Jackson, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.