Active NPI
Olivia Lao Maloles, PT
- Physical Therapist
- Missouri City, TX
National Provider Identifier
1023643467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1143204
- Practice address
- 8790 Highway 6 Ste 140
Missouri City, TX 77459-7115 - Phone
- (281) 778-1822
- NPI assigned
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1143204 | TX | Primary |
Addresses
Primary practice location
8790 Highway 6 Ste 140
Missouri City, TX 77459-7115
Mailing address
8790 Highway 6 Ste 140
Missouri City, TX 77459-7115
Phone (281) 778-1822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225100000X | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Olivia.maloles@memorialhermann.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1143204 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Health System | Past | Accepting new patients |
Interoperability endpoints
- olivia.maloles@memorialhermann.org
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1366229619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1023643467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8790 HIGHWAY 6 STE 140",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774597115",
"telephone_number": "281-778-1822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8790 HIGHWAY 6 STE 140",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774597115",
"telephone_number": "281-778-1822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOLES",
"first_name": "OLIVIA",
"middle_name": "LAO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1143204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225100000X",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Olivia.maloles@memorialhermann.org",
"affiliation": "N",
"address_1": "8790 Highway 6 Ste 140",
"city": "Missouri City",
"state": "TX",
"country_code": "US",
"postal_code": "774597115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.