Meagen Elise Malotte, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2546 Issued in AR

Practice address

1409 Highway 62 65 N
Ste 4
Harrison, AR 72601-1911

Phone

(870) 704-4076

Fax

(870) 741-0089

NPI assigned

Sep 15, 2015

Last updated

Mar 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1033588553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 HIGHWAY 62 65 N",
            "address_2": "STE 4",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011911",
            "telephone_number": "870-704-4076",
            "fax_number": "870-741-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOTTE",
        "first_name": "MEAGEN",
        "middle_name": "ELISE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "2546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen R. Maes, M.D.
• Cindy Dawn Magness
• Alexis M Mallett, MD
• Stephanie L Mallett, APRN
• Josh Felton Maloney, PHARMD
• Kellie Manes, APRN
• Peter Anthony Maningas, MD
• James Colton Mann
• Maple Esplanade LC
• Robert Wesley Marden

• Physical Therapy Assistant in Harrison, AR
• Providers in Harrison, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.