Individual provider Active NPI

Samir Maleki, PT, DPT

  • Physical Therapist
  • Marshalltown, IA
National Provider Identifier
1184004764
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
078560 Issued in IA
Practice address
1902 S Center St
Marshalltown, IA 50158-5983
Phone
(641) 754-6120
Fax
(641) 754-5019
NPI assigned
Jun 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 078560 IA Primary

Addresses

Primary practice location

1902 S Center St
Marshalltown, IA 50158-5983

Mailing address

616 Billy Sunday Rd
Unit 119
Ames, IA 50010-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927001538 ID Practitioner - Physical Therapist in Private Practice 3678881240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maleki Physical Therapy ServicesGroup PAC ID 5092176545, 7 clinicians

Practice addresses (Care Compare)

671 E Riverpark LN
Suite 150
Boise, ID 83706-6559
Phone (208) 912-6981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Physio LLC Current Accepting new patients
Maleki Physical Therapy Services Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
Rehabauthority, LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Central Iowa Healthcare Past Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

10790 W Overland Rd
Boise, ID 83709
Phone (208) 322-8709

671 E Riverpark Ln
Ste 150
Boise, ID 83706
Phone (208) 912-6981

5520 N Eagle Rd
Ste 102
Boise, ID 83713
Phone (208) 938-5255

720 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 322-8709

1940 S Bonito Way
Ste 170
Meridian, ID 83642
Phone (208) 912-6615

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1184004764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 BILLY SUNDAY RD",
            "address_2": "UNIT 119",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 S CENTER ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501585983",
            "telephone_number": "641-754-6120",
            "fax_number": "641-754-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEKI",
        "first_name": "SAMIR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "078560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.