Marcus Malone, M.D., LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MARCUS MALONE, M.D., LLC

Practice address

787 37TH St Ste E200
Vero Beach, FL 32960-7306

Phone

(772) 978-7808

Fax

(772) 978-9320

NPI assigned

Oct 31, 2017

Last updated

Aug 10, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marcus J Malone, MDNPI 1437374683

Title

President

Phone

(772) 978-7808

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcus J Malone, MD

  • Physical Medicine & Rehabilitation Physician
  • Vero Beach, FL
  • NPI 1437374683
  Medicare reassignment Care Compare group NPD Authorized official
• Thomas S Burns, DPT

  • Physical Therapist
  • Vero Beach, FL
  • NPI 1033543475
  Medicare reassignment Care Compare group NPD
• Michelle A Guancione, DPT

  • Physical Therapist
  • Vero Beach, FL
  • NPI 1609176619
  Medicare reassignment Care Compare group NPD
• Nicole A Cowette, C-PA

  • Medical Physician Assistant
  • Vero Beach, FL
  • NPI 1659361988
  Medicare reassignment
• Worthington S. Keville III, P.A-C

  • Surgical Physician Assistant
  • Vero Beach, FL
  • NPI 1881623536
  Medicare reassignment
• Sarah Lang, PA-C

  • Medical Physician Assistant
  • Vero Beach, FL
  • NPI 1891047650
  Medicare reassignment
• Gary M Sparkman, P.A.

  • Physician Assistant
  • Vero Beach, FL
  • NPI 1346258076
  Medicare reassignment

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1306358320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607306",
            "telephone_number": "772-978-7808",
            "fax_number": "772-978-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607306",
            "telephone_number": "772-978-7808",
            "fax_number": "772-978-9320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 37th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606550",
            "country_code": "US",
            "telephone_number": "772-569-7217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "787 37th St Ste E100",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329607304",
            "country_code": "US",
            "telephone_number": "772-978-7808",
            "fax_number": "772-978-9320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARCUS MALONE, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-978-7808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "K5Z73",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PROSPORTSANDELITEREHAB@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "practice email",
            "address_1": "1355 37th St Ste 301",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329607320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marchioli Enterprises Inc.
• Kimberlee Ann Marcil-Wieleba, LCSW
• Damaris Maria Marcos, PHARMD, RPH
• Gabriel Edmundo Marcos
• Marcus Malone MD
• Christy Mares
• Sheeba Marian, MD
• Christine A Marijanovic, D.D.S.
• Susana Quintana Marikle, PSY.D.
• Jena Christine Marini, APRN, FNP-BC

• Physical Medicine & Rehabilitation Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.