Active NPI
Elizabeth Malanowski, PT
- Physical Therapist
- West Allis, WI
National Provider Identifier
1306396171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10272-24
- Practice address
- 2424 S 90TH St
West Allis, WI 53227-2455 - Phone
- (414) 321-2255
- NPI assigned
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 10272-24 | WI | Primary |
Addresses
Primary practice location
2424 S 90TH St
West Allis, WI 53227-2455
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (414) 321-2255
Other practice location 1
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 328-6648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100254552 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10272-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1306396171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "414-321-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 S 90TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272455",
"telephone_number": "414-321-2255"
}
],
"practiceLocations": [
{
"address_1": "8901 W Lincoln Ave",
"address_purpose": "LOCATION",
"city": "West Allis",
"state": "WI",
"postal_code": "532272409",
"country_code": "US",
"telephone_number": "414-328-6648",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALANOWSKI",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-05",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10272-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100254552",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.