Malloree Dianne Escue, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214542 Issued in VA

Practice address

43330 Junction PLZ Ste 122
Ashburn, VA 20147-3407

Phone

(703) 972-1040

NPI assigned

Aug 4, 2021

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 FL

Enrollment records 1

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.

• PT Solutions of Pensacola, LLC

  • Physical Therapist
  • Pensacola, FL
  • NPI 1730439092
  Medicare reassignment NPD
• Professional Sportscare & Rehab, LLC

  • Clinic/Center
  • Winchester, VA
  • NPI 1033142294

  Physical Therapist

  NPD
• PT Solutions of Pensacola LLC

  • Physical Therapist
  • Palm Coast, FL
  • NPI 1417517350
  NPD
• Professional Sportscare & Rehab, LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1548714959
  NPD (past)
• Professional Sportscare & Rehab, LLC

  • Physical Therapist
  • Herndon, VA
  • NPI 1629523733
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1295409092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13175 MARINA WAY APT 356",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911266",
            "telephone_number": "407-756-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43330 JUNCTION PLZ STE 122",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473407",
            "telephone_number": "703-972-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13043 Worldgate Dr",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704374",
            "country_code": "US",
            "telephone_number": "703-870-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCUE",
        "first_name": "MALLOREE",
        "middle_name": "DIANNE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ephraim, DMD
• Erickson Health Medical Group of Virginia PC
• Erickson Health Medical Group of Virginia, PC
• Erickson Living Health Services, LLC
• Robert Erickson
• Marlon Espinoza-Mendoza
• Estela Pena, DDS, LLC
• Larijean Estrada-Brooks, DPT, CLT
• India Evans
• Everease LLC

• Physical Therapist in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.