Douglas Bryan Malone, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

6165 Issued in OR

Practice address

1441 SW Chandler Ave
Suite 103
Bend, OR 97702-3221

Phone

(541) 312-2252

Fax

(541) 312-8822

NPI assigned

Jun 18, 2010

Sex

Male

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)

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.

• Hands on Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Bend, OR
  • NPI 1912129073
  NPD (past)

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1184945602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SW CHANDLER AVE",
            "address_2": "SUITE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023221",
            "telephone_number": "541-312-2252",
            "fax_number": "541-312-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SW CHANDLER AVE",
            "address_2": "SUITE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023221",
            "telephone_number": "541-312-2252",
            "fax_number": "541-312-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "DOUGLAS",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "6165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Cesar Maldonado
• Grace Malkusak, MSW, MS
• Charles Robert Malley, CADC I
• Eric P Mallory, MD, ND, LAC
• Annika Malmberg, M.D.
• Kathleen Malone, M.S. CCC-SLP
• Timothy Patrick Malone, LCSW
• Nancy Maloney, M.D.
• Jennifer Lee Malter-Barrows, M.A.
• Lacie Kay Malvaney, LMT

• Orthopedic Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.