Rebecca Ann Malcolm, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

41150 Woodward Ave
Bloomfield Hills, MI 48304-5020

Phone

(248) 397-5792

NPI assigned

Apr 5, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1497717490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33755 NEWPORT DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105861",
            "telephone_number": "734-915-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41150 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045020",
            "telephone_number": "248-397-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236612",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Major
• Sarah Makadsi, MD
• Erik Joseph Makie, PSY.D.
• Making It Matter Counseling, PLLC
• Sandra Lynn Makram, D.D.S.
• Twyla Malcom, LPC
• Susan Rebecca Malott
• Callie Manasco
• Minal Ashish Manek
• Julie Manning, PSY MALLP

• Physical Therapy Assistant in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.