Carl Yale Malmquist III, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6056 Issued in AZ

Practice address

6319 E Telegraph St
Yuma, AZ 85365-1117

Phone

(928) 920-6600

Fax

(877) 544-6468

NPI assigned

Dec 8, 2006

Last updated

Aug 31, 2011By 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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Therapy Associates, Inc.

  • Home Health Agency
  • Yuma, AZ
  • NPI 1265733794
  NPD (past) Authorized official
• Assisted Living Concepts Inc

  dba Copper Hills House

  • Assisted Living Facility
  • Yuma, AZ
  • NPI 1922124494
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1235298001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 E TELEGRAPH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853651117",
            "telephone_number": "928-920-6600",
            "fax_number": "877-544-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 E TELEGRAPH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853651117",
            "telephone_number": "928-920-6600",
            "fax_number": "877-544-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMQUIST",
        "first_name": "CARL",
        "middle_name": "YALE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-CONTRACTED ID NUMBER",
            "identifier": "AZ0920400",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thy Kristi Mai, PHARM.D
• John Makowsky, RPHN
• Anu Malla Trzaska, FNP-C
• Leah Claire Mallinger, O.D.
• Mallon-Alvarez Pathology Group P C
• Almira Manaois
• Deanna Manarang, PHARMD
• Anjali Mandal, MD
• Manek Inc
• Morgan Mangum

• Physical Therapist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.