Individual provider Active NPI

Kiara Janese Malone, DPT, PT, ATC, LAT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1164187985
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032259 Issued in PA
Practice address
511 N Broad St
Philadelphia, PA 19123-3230
Phone
(215) 923-6031
NPI assigned
Nov 5, 2021
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT032259PAMDPhysical Therapist
RT008356PAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Star Physical Therapy LP Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.