Brian Matthew Malone, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-31640 Issued in AZ

Practice address

20801 N Scottsdale Rd Ste 105
Scottsdale, AZ 85255-6487

Phone

(623) 208-7575

NPI assigned

May 24, 2021

Last updated

May 24, 2021By 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 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1558936385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13009 W LISBON LN",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353402",
            "telephone_number": "406-880-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 N SCOTTSDALE RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556487",
            "telephone_number": "623-208-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD",
            "identifier": "LPT-31640",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "JaneApp",
            "affiliation": "N",
            "address_1": "20801 N Scottsdale Rd Ste 105",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852556487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mallin & Seidel Orthopaedic Oncology PLLC (Orthopaedic Surgical Oncology of Arizona)
• Gary Craig Mallis, M.D.
• James B Mallory, DMD
• Trena Marie Mallory, CRNA
• Kathleen Malmberg
• Danielle Malone, RMHCI
• Gloria M Malone, PHD
• James M Malone, MD
• Jillian Maloney, MD
• Kelly Malouf, R.PH.

• Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.