Mary Claire Malooly, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292278 Issued in CA

Practice address

30230 Rancho Viejo Rd Ste 120
San Juan Capistrano, CA 92675-1569

Phone

(949) 461-1250

NPI assigned

Nov 14, 2016

Sex

Female

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mariners Physical Therapy IncGroup PAC ID 9931100500, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.86 of 100Reported as group

Quality

82.51

Improvement activities

40

Cost

52.85

Medicare enrollment (NPD)

Enrolled

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.

• Mariners Physical Therapy, Inc.

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1164527305
  Medicare reassignment Care Compare group NPD
• Intecore, Inc.

  • Physical Therapist
  • Foothill Ranch, CA
  • NPI 1912042714
  NPD (past)
• Movement Science Physical Therapy and Fitness Inc

  • Chiropractor
  • Pasadena, CA
  • NPI 1538532148

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1225570849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SANDPOINTE AVE",
            "address_2": "STE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075785",
            "telephone_number": "626-298-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD STE 120",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751569",
            "telephone_number": "949-461-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Vista Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073699",
            "country_code": "US",
            "telephone_number": "626-365-1380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALOOLY",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Luna
• Jerry Luong
• Kathleen Ann Lynch, M.D.
• Dania Magill, B.S.
• Mallery Dental Corporation
• Jose Luis Mancilla Jr.
• Pat Anne Mann, M.A.
• Jennifer Rebecca Mansoor
• Derek Mantey, MS, ATC, PTA
• Marcum Psychological Services Corp

• Physical Therapist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.