Individual provider Active NPI

Coty Alan Malone, PT, DPT

  • Physical Therapist
  • Soddy Daisy, TN
National Provider Identifier
1073014684
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11422 Issued in TN
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.

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 85 clinicians

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
11422TNMDPediatric Dentist
PT015027GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Watauga Orthopaedics PLC Physical Therapist CurrentSince Apr 11, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 15, 2022 Accepting new patients
Watauga Orthopaedics, PLC Physical Therapist CurrentSince Apr 11, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 15, 2022 Accepting new patients
Independent Physical Therapy Physical Therapist CurrentSince Mar 5, 2018 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Mar 5, 2018 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

  • Direct secure messaging: coty.malone.1@3374.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015027 GA
Physical Therapist 225100000X 11422 TN Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.