Alisa Malte, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012452 Issued in GA

Practice address

2285 Priscilla Dr
Marietta, GA 30066-4629

Phone

(678) 234-5267

Fax

(678) 234-5267

NPI assigned

Aug 28, 2017

Last updated

Aug 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1376060509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 PRISCILLA DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664629",
            "telephone_number": "678-234-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 PRISCILLA DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664629",
            "telephone_number": "678-234-5267",
            "fax_number": "678-234-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTE",
        "first_name": "ALISA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Malone, LCSW
• Michelle Alejandra Malone, PA-C
• Reginald Martinez Malone, PA-C
• Ashley Cara Maloy, LMFT
• Stacey Glass Malstrom, NP-C
• Max Praya Mam, M.D.
• Michael Jay Manalo, PH.D.
• Swetha Reddy Mandadi, RPH
• Suvi Mandawat
• Ofelia S Mandock, M.D.

• Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.