Active NPI
Tricia Lynn Malone, P.T
- Physical Therapist
- Auburn, MA
National Provider Identifier
1427132893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18973
- Practice address
- 489 Washington St
Suite 200
Auburn, MA 01501-5709 - Phone
- (508) 721-0000
- Fax
- (508) 721-0100
- NPI assigned
- Oct 24, 2006
- Last updated
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18973 | MA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT 30395 | CA |
Addresses
Primary practice location
489 Washington St
Suite 200
Auburn, MA 01501-5709
Mailing address
489 Washington St
Suite 200
Auburn, MA 01501-5709
Phone (508) 721-0000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171680700 | Other | CA | US DEPT OF LABOR |
| ZZZ59255Z | Other | CA | BLUE SHIELD |
Other names 1
- Tricia Lynn McDaniel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18973 | MA | MD | Physical Therapist |
| PT 30395 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Francis P. Defalco, PC | Past | Accepting new patients |
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": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1427132893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 WASHINGTON ST",
"address_2": "SUITE 200",
"city": "AUBURN",
"state": "MA",
"postal_code": "015015709",
"telephone_number": "508-721-0000",
"fax_number": "508-721-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 WASHINGTON ST",
"address_2": "SUITE 200",
"city": "AUBURN",
"state": "MA",
"postal_code": "015015709",
"telephone_number": "508-721-0000",
"fax_number": "508-721-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "TRICIA",
"middle_name": "LYNN",
"credential": "P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18973",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT 30395",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "171680700",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ59255Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRICIA",
"last_name": "MCDANIEL",
"middle_name": "LYNN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.