Individual provider Active NPI

Malachi Votaw, PT, DPT

  • Physical Therapist
  • Escondido, CA
National Provider Identifier
1376127795
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300167 Issued in CA
Practice address
457 N Elm St
Escondido, CA 92025-3001
Phone
(760) 489-1969
NPI assigned
May 11, 2021
Last updated
May 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300167 CA Primary

Addresses

Primary practice location

457 N Elm St
Escondido, CA 92025-3001

Mailing address

1370 Friends Way
Fallbrook, CA 92028-4213
Phone (503) 332-6417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521001583 CA Practitioner - Physical Therapist in Private Practice 1759780851 Reassigns benefits to 1 organization

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
North County and Escondido Physical Therapy IncGroup PAC ID 6800831009, 8 clinicians

Practice addresses (Care Compare)

457 N Elm St
Escondido, CA 92025-3001
Phone (760) 489-1969

Merit-based Incentive Payment System (MIPS)

Final score
12.43 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
41.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North County & Escondido Physical Therapy Inc Physical Therapist CurrentSince May 10, 2021 Accepting new patients

Locations

457 N Elm St
Escondido, CA 92025
Phone (760) 489-1969

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1376127795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 FRIENDS WAY",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920284213",
            "telephone_number": "503-332-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 N ELM ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253001",
            "telephone_number": "760-489-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTAW",
        "first_name": "MALACHI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.

Verify at the official NPI Registry.