Malo Sports Rehabilitation and Physical Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

38220 Issued in CA

Legal business name

MALO SPORTS REHABILITATION AND PHYSICAL THERAPY INC.

Practice address

7721 N 1St St
Fresno, CA 93720-0962

Phone

(559) 435-7472

Fax

(559) 570-0900

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel J Malo, D.P.T.

Title

President/C.E.O.

Phone

(559) 435-7472

Specialties & licenses 1

Addresses

Other names 1

• Sports, Hand, Arm Rehabilitation Center Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1497128508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 BLISS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110601",
            "telephone_number": "559-435-7472",
            "fax_number": "559-570-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200962",
            "telephone_number": "559-435-7472",
            "fax_number": "559-570-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALO SPORTS REHABILITATION AND PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "MALO",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/C.E.O.",
        "authorized_official_telephone_number": "559-435-7472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "38220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports, Hand, Arm Rehabilitation Center Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Varun Mallela
• Konstantin Roman Malley
• Natalya G Malley, MD
• Roman B Malley, MD
• Sheila Orallo Mallory, N. P.
• Gary A Malone, MFT
• Kaylyn Elizabeth Malone
• Daniel Paul Malouf
• Veena Rani Mamidi, MD
• Steven Michael Mamigonian, D.C.

• Physical Therapy Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.