Cynthia Renee Malleck, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

321 Rood Ave
Grand Junction, CO 81501-2451

Phone

(970) 242-0111

Fax

(970) 263-4334

NPI assigned

Dec 10, 2008

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

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1346485950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 ROOD AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012451",
            "telephone_number": "970-242-0111",
            "fax_number": "970-263-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ROOD AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012451",
            "telephone_number": "970-242-0111",
            "fax_number": "970-263-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLECK",
        "first_name": "CYNTHIA",
        "middle_name": "RENEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronwen J Magraw, M.D.
• Maida L. Burrow M.D.
• Donald Eugene Maier, MD
• Autumn Brooke Maldonado
• Bethany Malievsky
• Ann Maloney, SLP
• Linda M Manchester, MSW
• Katie Jane Mang-Smith, MD
• Stephanie Manion, PSYD
• Samantha Manley

• Physical Therapy Assistant in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.