Malibu Theraputics LLC

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Legal business name

MALIBU THERAPUTICS LLC

Practice address

12681 Chiefs CT
Fishers, IN 46037-9553

Phone

(317) 523-4637

NPI assigned

Nov 9, 2023

Organization subpart

No

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

Authorized official

Name

Malibu Yazeed

Title

Manager

Phone

(317) 366-5690

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malibu Neely, COTA

  • Occupational Therapy Assistant
  • Plymouth Meeting, PA
  • NPI 1124239983
  NPD

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1558135681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12681 CHIEFS CT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12681 CHIEFS CT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379553",
            "telephone_number": "317-523-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIBU THERAPUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "YAZEED",
        "authorized_official_first_name": "MALIBU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-366-5690"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Mackay
• Chris A Magee, MD
• Nitin Mahajan, PMHNP
• Bobbi Maher, M.S.CCC-SLP
• Sumiya Majeed, MD
• Elise Maller, MS, LMHC
• Andrew Charles Malloy, PT
• Noadiah Malott, NP
• Jonathan Michael Mangano, LMFT
• Ashley Mangus

• Occupational Therapy Assistant in Fishers, IN
• Providers in Fishers, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.