Zachary Malecki, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36003298A Issued in IN

Practice address

4600 Sunset Ave
Indianapolis, IN 46208-3443

Phone

(317) 400-9414

NPI assigned

Mar 20, 2020

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

Electronic endpoints 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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1285260380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 LEMANS CT APT 707",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051211",
            "telephone_number": "317-400-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SUNSET AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462083443",
            "telephone_number": "317-400-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALECKI",
        "first_name": "ZACHARY",
        "name_prefix": "Mr.",
        "credential": "ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-20",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36003298A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maleckiz@butler.edu",
            "affiliation": "Y",
            "affiliationName": "Butler University",
            "address_1": "4600 Sunset Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462083443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth J Malcom, LMHC
• Ariana M Maldonado Serrano
• Andriana Maree Maldonado, DDS
• Kelli Maldonado, PTA
• Olga Yolanda Maldonado, DDS
• Caitlin Alyssa Maled, PHYSICIAN ASSISTANT
• Malek Fansa D.D.S., LLC.
• Elizabeth C Malek-Maiorano, RPH
• Marissa Malen, MD
• Eugenia C Malenkos, D.P.M.

• Athletic Trainer in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.