Active NPI
Jason A. Malavolta, P.T.
- Physical Therapist
- West Grove, PA
National Provider Identifier
1457530537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019017
- Practice address
- 900 West Baltimore Pike
Suite 103
West Grove, PA 19390 - Phone
- (610) 869-2200
- NPI assigned
- Oct 25, 2007
- Sex
- Male
- 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 | J10002349 | DE | |
| Physical Therapist | 225100000X | PT019017 | PA | Primary |
Addresses
Primary practice location
900 West Baltimore Pike
Suite 103
West Grove, PA 19390
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94266301 | Other | CARE FIRST OF MD | |
| 1457530537 | Other | IBC AMERIHEALTH | |
| 5070-0104 | Other | GHMSI | |
| 1457530537 | Other | CHAMPUS TRICARE | |
| 2045293 | Other | PABS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1377 E Boot Rd
West Chester, PA 19380-5934
Phone (610) 241-9787
1381 Dilworthtown Xing
West Chester, PA 19382-8267
Phone (610) 399-8600
9475 E Roosevelt Blvd
Philadelphia, PA 19114-2212
Phone (215) 464-6200
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J10002349 | DE | MD | Physical Therapist |
| PT019017 | PA | MD | Physical Therapist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1457530537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WEST BALTIMORE PIKE",
"address_2": "SUITE 103",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "19390",
"telephone_number": "610-869-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAVOLTA",
"first_name": "JASON",
"middle_name": "A.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-25",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10002349",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST OF MD",
"identifier": "94266301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC AMERIHEALTH",
"identifier": "1457530537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHMSI",
"identifier": "5070-0104",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS TRICARE",
"identifier": "1457530537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PABS",
"identifier": "2045293",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.