Individual provider Active NPI

Malcolm Mauro, PT, DPT

  • Physical Therapist
  • Franklin, WI
National Provider Identifier
1497465306
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP049267T Issued in WI
Practice address
7253 S 76TH St
Franklin, WI 53132-9041
Phone
(414) 425-9700
Fax
(414) 425-9701
NPI assigned
Dec 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP049267T WI Primary

Addresses

Primary practice location

7253 S 76TH St
Franklin, WI 53132-9041

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230227002169 CT Practitioner - Physical Therapist in Private Practice 1355714106
I20251103002840 ME Practitioner - Physical Therapist in Private Practice 1355714106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Motion Physical Therapy LLCGroup PAC ID 7416926704, 57 clinicians

Practice addresses (Care Compare)

185 Ocean St
South Portland, ME 04106-3600
Phone (207) 799-8226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Physical Therapy, LLC Physical Therapist CurrentSince Nov 3, 2025 Accepting new patients
Hand Therapy Associates, Inc Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients
Hand Therapy Associates, Inc Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients
Franklin Rehabilitation LLC Physical Therapist CurrentSince Nov 8, 2025 Accepting new patients

Locations

2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702

761 Main Ave
Norwalk, CT 06851
Phone (203) 845-2160

761 Main Ave
Ste 113
Norwalk, CT 06851
Phone (203) 845-2987

51 N Main St
Ste 3G
Southington, CT 06489
Phone (203) 389-8177

94 Main St
Gorham, ME 04038
Phone (207) 839-5225

1041 Brighton Ave
Portland, ME 04102
Phone (207) 699-4111

185 Ocean St
South Portland, ME 04106
Phone (207) 799-8226

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

7253 S 76th St
Franklin, WI 53132
Phone (414) 425-9700

Organizations & group practices 4

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": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1497465306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7253 S 76TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329041",
            "telephone_number": "414-425-9700",
            "fax_number": "414-425-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURO",
        "first_name": "MALCOLM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "CP049267T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.