Active NPI
Coty Alan Malone, PT, DPT
- Physical Therapist
- Soddy Daisy, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11422
- Practice address
- 210 Walmart Dr Ste 100
Soddy Daisy, TN 37379-5022 - Phone
- (423) 332-9490
- Fax
- (423) 332-3817
- NPI assigned
- Feb 28, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Johnson City, TN
- NPI 1245251404
Physical Therapist, TN
-
- Physical Therapist
- Chattanooga, TN
- NPI 1104878354
-
- Durable Medical Equipment & Medical Supplies
- Greeneville, TN
- NPI 1730924192
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Kingsport, TN
- NPI 1104125210
-
- Durable Medical Equipment & Medical Supplies
- Bristol, TN
- NPI 1518508993
-
- Physical Therapist
- Nashville, TN
- NPI 1992244412
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Watauga Orthopaedics PLC
Practice addresses (Care Compare)
2412 Susannah St
Johnson City, TN 37601-1726
Phone (423) 282-9011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180725002406 | TN | Practitioner - Physical Therapist in Private Practice | 5890042600 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11422 | TN | MD | Pediatric Dentist |
| PT015027 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watauga Orthopaedics PLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Watauga Orthopaedics, PLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
340 Steeles Rd
Bristol, TN 37620
Phone (423) 282-9011
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192
3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444
2412 Susannah St
Johnson City, TN 37601
Phone (423) 282-8070
2410 Susannah St
Johnson City, TN 37601
Phone (423) 282-9011
2312 Knob Creek Rd
Ste 200
Johnson City, TN 37604
Phone (423) 232-8302
875 Larry Neil Way
Kingsport, TN 37660
Phone (423) 282-9011
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
210 Walmart Dr
Ste 100
Soddy Daisy, TN 37379
Phone (423) 332-6155
Interoperability endpoints
- coty.malone.1@3374.direct.athenahealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015027 | GA | |
| Physical Therapist | 225100000X | 11422 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
210 Walmart Dr Ste 100
Soddy Daisy, TN 37379-5022
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8930
Other practice location 1
1508 N Thornton Ave Ste 106
Dalton, GA 30720-8516
Phone (706) 226-0816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2021.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1073014684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-8930",
"fax_number": "423-254-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WALMART DR STE 100",
"city": "SODDY DAISY",
"state": "TN",
"postal_code": "373795022",
"telephone_number": "423-332-9490",
"fax_number": "423-332-3817"
}
],
"practiceLocations": [
{
"address_1": "1508 N Thornton Ave Ste 106",
"address_purpose": "LOCATION",
"city": "Dalton",
"state": "GA",
"postal_code": "307208516",
"country_code": "US",
"telephone_number": "706-226-0816",
"fax_number": "706-226-9584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALONE",
"first_name": "COTY",
"middle_name": "ALAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-28",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015027",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "11422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soddy Daisy, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.