Robert Malone, RPT

Primary specialty

ContractorTaxonomy code 171W00000X

License

18209 Issued in AL

Practice address

8331 Madison Blvd.
Suite 500
Madison, AL 35758-2068

Phone

(256) 325-2070

Fax

(844) 587-9612

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lystra Physical Therapy and Wellness LLCGroup PAC ID 2163725995, 2 clinicians

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 and National Provider Directory roles.

• Lystra Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Madison, AL
  • NPI 1407224728
  Medicare reassignment Care Compare group NPD Authorized official
• Spinecare Inc

  • Chiropractor
  • Madison, AL
  • NPI 1538171004
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1225136369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 MADISON BLVD.",
            "address_2": "SUITE 500",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582068",
            "telephone_number": "256-325-2070",
            "fax_number": "844-587-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8331 MADISON BLVD.",
            "address_2": "SUITE 500",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582068",
            "telephone_number": "256-325-2070",
            "fax_number": "844-587-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AL",
            "license": "18209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer James Mahoney, BSW
• Making a Renewed Self
• Making Smiles
• Shivani Malhotra, M.D.
• Eva Malone, RBT
• Robin Gail Malone, LPC
• Ernest Maloy
• Angelo Mancuso, DO
• Dawn B Mancuso, M.D.
• Sabrina Mangieri

• Contractor in Madison, AL
• Providers in Madison, AL by specialty
• Contractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.