Margeaux Mallas, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010947 Issued in OH

Practice address

135 Reichart Ave
Wintersville, OH 43953-4050

Phone

(740) 264-1155

NPI assigned

Jun 22, 2010

Last updated

Jun 22, 2010By the provider in NPPES

Sex

Female

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

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Physical Therapy LLC

  • Physical Therapist
  • Wintersville, OH
  • NPI 1336394311
  Medicare reassignment NPD Authorized official
• Erik Van Dijk

  dba Physical Therapy Associates

  • Physical Therapy Clinic/Center
  • Wintersville, OH
  • NPI 1376732362

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1205157492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 SKYVIEW DR",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439534205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 REICHART AVE",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439534050",
            "telephone_number": "740-264-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAS",
        "first_name": "MARGEAUX",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "010947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT",
            "identifier": "010947",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Landmark Recovery of Ohio LLC
• Livewell Direct Support, LLC
• Sharon Livingston
• LTAC Investors LLC (Life Line Hospital)
• LTAC Investors LLC (Life Line Hospital)
• Shannon Maragos, PT
• Fallon Alexa Martin, LMT
• Hayden Martin
• Charles Mascellino
• Thomas Matanzo, DDS

• Physical Therapist in Wintersville, OH
• Providers in Wintersville, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.