Leigh Anne Malott, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTA008710 Issued in OH

Practice address

425 Lauracella CT
Englewood, OH 45309

Phone

(937) 836-8413

NPI assigned

Jan 29, 2019

Last updated

Jan 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1336603802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 LANDIS RD",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453098213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAURACELLA CT",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "45309",
            "telephone_number": "937-836-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOTT",
        "first_name": "LEIGH ANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "PTA008710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica G Luckenbill, PA
• Kimberly Nicole Luna, DDS
• Kendra S Magnuson
• Rosalie Makridis, MA, LSW
• Angelique Malone
• Zarifa I Mamatova
• Mana Home Health Care LLC
• Danika Nicole Mann, LMT
• Maranatha Family Counseling, LLC
• Robert Michael Margolis, M.D.

• Physical Medicine & Rehabilitation Physician in Englewood, OH
• Providers in Englewood, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.