Active NPI
Kiara Janese Malone, DPT, PT, ATC, LAT
- Physical Therapist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT032259
- Practice address
- 511 N Broad St
Philadelphia, PA 19123-3230 - Phone
- (215) 923-6031
- NPI assigned
- Nov 5, 2021
- Last updated
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14719 | TN | |
| Athletic Trainer | 2255A2300X | 3025 | TN | |
| Athletic Trainer | 2255A2300X | RT008356 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Therapist | 225100000X | PT032259 | PA | Primary |
Addresses
Primary practice location
511 N Broad St
Philadelphia, PA 19123-3230
Mailing address
1044 Sierra Gorda Dr
Gallatin, TN 37066-4556
Phone (423) 580-6714
Other practice location 1
460 Great Circle Rd
Nashville, TN 37228-1404
Phone (615) 565-4047
Other practice location 2
1 Novacare Way
Philadelphia, PA 19145-5900
Phone (423) 580-6714
Other practice location 3
1044 Sierra Gorda Dr
Gallatin, TN 37066-4556
Phone (423) 580-6714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT032259 | PA | MD | Physical Therapist |
| RT008356 | PA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Physical Therapy LP | Past | Accepting new patients |
Interoperability endpoints
- kiara.malone.p1@direct.toa.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Bolivar, TN
- NPI 1417404351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1164187985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 SIERRA GORDA DR",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370664556",
"telephone_number": "423-580-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191233230",
"telephone_number": "215-923-6031"
}
],
"practiceLocations": [
{
"address_1": "460 Great Circle Rd",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372281404",
"country_code": "US",
"telephone_number": "615-565-4047",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Novacare Way",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191455900",
"country_code": "US",
"telephone_number": "423-580-6714",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1044 Sierra Gorda Dr",
"address_purpose": "LOCATION",
"city": "Gallatin",
"state": "TN",
"postal_code": "370664556",
"country_code": "US",
"telephone_number": "423-580-6714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALONE",
"first_name": "KIARA",
"middle_name": "JANESE",
"name_prefix": "Ms.",
"credential": "DPT, PT, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-05",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "14719",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "3025",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT008356",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT032259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.