Lauren Whitehouse Malik, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

8142501-2401 Issued in UT

Practice address

3903 Harrison Blvd
Suite 400
Ogden, UT 84403-2314

Phone

(801) 387-2080

NPI assigned

Dec 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Lauren Marie Whitehouse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1164605168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 HARRISON BLVD",
            "address_2": "SUITE 400",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032314",
            "telephone_number": "801-387-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 HARRISON BLVD",
            "address_2": "SUITE 400",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032314",
            "telephone_number": "801-387-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "LAUREN",
        "middle_name": "WHITEHOUSE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1168746",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1168746",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "UT",
            "license": "8142501-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WHITEHOUSE",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cloie Malan, RD
• Colette Malan, LCSW
• Grace Malan
• Lee Jeppson Malan, MD
• Matthew Wendall Malan, DMD
• Zoe Malnar, RN
• Karina Diane Mandell
• Destiny Astin Manner
• Bronwyn Tayler Manning
• Theresa J Manning, OTR/L

• Pediatric Physical Therapist in Ogden, UT
• Providers in Ogden, UT by specialty
• Pediatric Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.