Caroline Blanche Malinchak, PHYSICAL THERAPY AST

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE000928L Issued in PA

Practice address

10 Hart PL
Carbondale, PA 18407-1593

Phone

(570) 282-5264

NPI assigned

Mar 15, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457485385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 221H",
            "city": "KINGSLEY",
            "state": "PA",
            "postal_code": "188269502",
            "telephone_number": "570-278-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HART PL",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071593",
            "telephone_number": "570-282-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINCHAK",
        "first_name": "CAROLINE",
        "middle_name": "BLANCHE",
        "credential": "PHYSICAL THERAPY AST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE000928L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lucas, M.ED, LBS, BC-ABA
• Terry Joseph Luma, M.D.
• Michael Henry Lynch, PSYCHOLOGIST
• Ashley Sue Machiesky, PA-C
• Evan James Maclusky, M.A.
• Anne Molly Malone, P.T.
• Fred J Mancuso Jr., DC
• Niko Manetti, DPT
• Marian Community Hospital
• Marian Community Hospital

• Physical Therapy Assistant in Carbondale, PA
• Providers in Carbondale, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.