Madison Malzahn, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1614 Issued in NE

Practice address

1820 Illinois St
Sidney, NE 69162-1425

Phone

(308) 225-1870

NPI assigned

Aug 28, 2017

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

Practice roles

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.

• Soar Pediatric Therapy, LLC

  • Physical Therapy Clinic/Center
  • Sidney, NE
  • NPI 1013314558
  NPD (past)

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1134646367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 EL RANCHO RD",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 ILLINOIS ST",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621425",
            "telephone_number": "308-225-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALZAHN",
        "first_name": "MADISON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freddie Lee Maestas
• Emily Mahr, M.S.ED., CCC-SLP
• George Makris
• Janice L Makris
• Jeff Makris
• David F Manke, CRNA
• Aubrey Jean Markowski
• Nomaly Dee Marsh
• Olivia Martin
• Raychel Martin

• Physical Therapy Assistant in Sidney, NE
• Providers in Sidney, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.