Mark Stephen Malone, PT MT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1164493 Issued in TX

Practice address

1412 Sidney Baker St
Kerrville, TX 78028-2725

Phone

(830) 315-8420

Fax

(830) 315-8500

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Momentum Physical and Sports Rehabilitation Limited PartnershipGroup PAC ID 0446575732, 51 clinicians

The San Antonio Orthopaedic Group LLPGroup PAC ID 6800798794, 143 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

63.18 of 100Reported as group

Quality

59.83

Improvement activities

20

Cost

75.9

Merit-based Incentive Payment System (MIPS)

Final score

52.7 of 100Reported as individual

Quality

0

Improvement activities

40

Cost

75.68

Medicare enrollment (NPD)

Enrolled

Credentials

Medical Technician

State licenses

Practice roles

Locations

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.

• Momentum Physical & Sports Rehabilitation Limited Partnership

  • Physical Therapist
  • Helotes, TX
  • NPI 1871990275
  Medicare reassignment Care Compare group NPD
• The San Antonio Orthopaedic Group, LLP

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1720022494
  Medicare reassignment Care Compare group NPD
• Boerne Spectrum Physical Therapy Clinic

  • Physical Therapy Clinic/Center
  • Boerne, TX
  • NPI 1003140831
  NPD Authorized official
• The San Antonio Orthopaedic Group, LLP

  • Orthopedic Physical Therapist
  • San Antonio, TX
  • NPI 1770042152
  NPD
• Momentum Physical & Sports Rehabilitation Limited Partnership

  • Physical Therapist
  • Tampa, FL
  • NPI 1609243328
  NPD
• Kinematic Concepts Physical Therapy & Sports Rehab, PLLC

  • Physical Therapist
  • San Antonio, TX
  • NPI 1023079712
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1487750642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD STE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234733",
            "telephone_number": "830-315-8420",
            "fax_number": "830-315-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SIDNEY BAKER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780282725",
            "telephone_number": "830-315-8420",
            "fax_number": "830-315-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "PT MT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1164493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "8T5381",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cerliza U Luzano, RN
• Brian Lyman, DC
• Andrew J Madden, CRNA
• Maharlika Resources, Inc.
• Robert Daly Malain, M.A.
• Mama to the Core LLC
• Rachel Maner
• Charles Thomas Marino
• Mark Fitzgerald, MD
• Mark P. Goldman, P.C.

• Physical Therapist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.