Yousif David Malik, PTA, LMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P1 60573753 Issued in WA

Practice address

19221 36TH Ave W Ste 101
Lynnwood, WA 98036-5700

Phone

(425) 774-9564

NPI assigned

Nov 2, 2015

Last updated

Oct 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1528431376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16125 MIDVALE AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335724",
            "telephone_number": "773-446-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 36TH AVE W STE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365700",
            "telephone_number": "425-774-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "YOUSIF",
        "middle_name": "DAVID",
        "credential": "PTA, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60573753",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60589118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukhmanpreet Kaur Makkar, DMD
• Malama Dietetics LLC (Malama Dietetics)
• Nicole Malapit
• Sepideh Maleki
• Kirandeep K. Malhi, DMD
• Hillary Malu, LMP
• Melissa D Mamiya, SLP
• Raisa Rubenovna Mangasarova
• Paula Marie Mangor
• Chitra Manickam, MD

• Physical Therapy Assistant in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.