Philip Malloy, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003353L Issued in PA

Practice address

2655 Woodglen Rd
Pottsville, PA 17901-1335

Phone

(570) 622-6648

Fax

(570) 628-4709

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• West Schuylkill Physical Therapy Services, P.C.

  • Physical Therapist
  • Pine Grove, PA
  • NPI 1972528024
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1477542298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 WOODGLEN RD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011335",
            "telephone_number": "570-622-6648",
            "fax_number": "570-628-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 WOODGLEN RD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011335",
            "telephone_number": "570-622-6648",
            "fax_number": "570-628-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "PHILIP",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT003353L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "075961",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL",
            "identifier": "01505402",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "484428",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Majors, MS
• Ann Valerie Malantic-Lin, MD
• Carol A Malarkey, CRNA
• Maqsood Ahmad Malik, MD
• Brian Malloy, D.C
• Gretchen Manbeck
• Manor Care of Pottsville PA LLC
• Faran Mansoor, MD
• Frances Judith Lago Manus, M.D.
• Jillian Ann Marcalus, BSN

• Physical Therapist in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.