Michael Phillip Malle, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA0018174 Issued in FL

Practice address

5975 North Federal Highway
Suite 244
Fort Lauderdale, FL 33308-2652

Phone

(954) 491-7606

Fax

(954) 491-8238

NPI assigned

Sep 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194828228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 NORTH FEDERAL HIGHWAY",
            "address_2": "SUITE 244",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082652",
            "telephone_number": "954-491-7606",
            "fax_number": "954-491-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 NORTH FEDERAL HIGHWAY",
            "address_2": "SUITE 244",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082652",
            "telephone_number": "954-491-7606",
            "fax_number": "954-491-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLE",
        "first_name": "MICHAEL",
        "middle_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA0018174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C6627",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Torrie Cole Malik, MS RD LD
• Miorika Malinetescu, RD LD
• Kelli Malkasian, PSYD
• Elizabeth V Malkin
• Anthony Mallace, MS
• Andrea Mallen, LCSW
• Laurence R. Malmuth, MD
• Alicia Malone
• Karen Anne Malone
• Jasmin Mamak

• Massage Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.