Michael Malark, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17037 Issued in MA

Practice address

575 Turnpike St
North Andover, MA 01845-5924

Phone

(978) 686-9688

NPI assigned

May 29, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6240/brand/1/csg/1/fhir/r4

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.

• North Andover Physicl Therapy PC

  • Physical Therapy Clinic/Center
  • North Andover, MA
  • NPI 1467445858

  Physical Therapist

  NPD (past)
• Neuro Rehab Associates, Inc

  • Rehabilitation Hospital
  • Salem, NH
  • NPI 1255354288
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033310198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WALLACE DR",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455924",
            "telephone_number": "978-686-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALARK",
        "first_name": "MICHAEL",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Mahanna
• Mylah Nicole Mahon-Davenda, NP
• Matthew Mahoney, D.O.
• Hadi Majed, DPT
• Akindele Majekodunmi, M.D., M.B.A
• Haruna Kibundila Maliani, PMHNP-C
• Rebecca A Mallen
• Michele L Manchester, P.T.
• Lakshmi Bhavani Mandava, PT
• Jordan Manuel

• Physical Therapist in North Andover, MA
• Providers in North Andover, MA by specialty
• Physical Therapist in Massachusetts

• 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.