Active NPI
Ma. Angela Calanda Maliwat, PT, DPT
- Physical Therapist
- Chrisman, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070027194
- Practice address
- 400 W. Washington Avenue, Chrisman Il
Chrisman, IL 61924 - Phone
- (217) 269-2396
- NPI assigned
- Aug 22, 2023
- Last updated
- Aug 22, 2023
- Sex
- Female
- 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 | 070027194 | IL | Primary |
Addresses
Primary practice location
400 W. Washington Avenue, Chrisman Il
Chrisman, IL 61924
Mailing address
535 W Grant Ave
Charleston, IL 61920-3265
Phone (929) 383-4516
Other practice location 1
1011 N Main St, Paris, IL 61944
Paris, IL 61944
Phone (217) 465-5376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070027194 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Wellness Kansas City, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
1305 Bailey Ln
Benton, IL 62812
Phone (618) 356-1362
480 W Polk Ave
Charleston, IL 61920
Phone (217) 345-4900
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
1421 W 10th St
Metropolis, IL 62960
Phone (618) 312-7300
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
Physical Therapist
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
Physical Therapist
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Physical Therapist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1346024338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 W GRANT AVE",
"city": "CHARLESTON",
"state": "IL",
"postal_code": "619203265",
"telephone_number": "929-383-4516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W. WASHINGTON AVENUE, CHRISMAN IL",
"city": "CHRISMAN",
"state": "IL",
"postal_code": "61924",
"telephone_number": "217-269-2396"
}
],
"practiceLocations": [
{
"address_1": "1011 N Main St, Paris, IL 61944",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "IL",
"postal_code": "61944",
"country_code": "US",
"telephone_number": "217-465-5376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALIWAT",
"first_name": "MA. ANGELA",
"middle_name": "CALANDA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070027194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chrisman, IL
- Haven JV Hospice Il, LLC (Haven Hospice)
- Hospital & Medical Foundation of Paris, Inc. (Chrisman Clinic)
- Hospital & Medical Foundation of Paris, Inc.
- Danielle Ireland, APRN
- Stephanie Anne Lorenzen, IBCLC
- Sandra M Medina, COTA
- Neal EMS LLC
- Northern Edgar County Amb Ser
- Pleasant Meadows Senior Living LLC
- Valentin Ion Prisecaru, MS, CN, LDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.