Active NPI
Daniel Joseph O'Malley, MPT
- Physical Therapist
- Waterloo, IA
National Provider Identifier
1285847947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02913
- Practice address
- 211 E Ridgeway Ave
Waterloo, IA 50702-5039 - Phone
- (319) 272-2276
- Fax
- (319) 272-2923
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02913 | IA | Primary |
Addresses
Primary practice location
211 E Ridgeway Ave
Waterloo, IA 50702-5039
Mailing address
105 Rebecca St
Hudson, IA 50643-9786
Phone (319) 988-3491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02913 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285847947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 REBECCA ST",
"city": "HUDSON",
"state": "IA",
"postal_code": "506439786",
"telephone_number": "319-988-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E RIDGEWAY AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025039",
"telephone_number": "319-272-2276",
"fax_number": "319-272-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "02913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.