Alexis Rose Malkasian, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015588 Issued in GA

Practice address

400 Dawson Commons Cir Ste 430
Dawsonville, GA 30534-6269

Phone

(706) 265-8790

NPI assigned

Jun 28, 2016

Last updated

Jan 29, 2025By the provider in NPPES

Sex

Female

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physiotherapy Associates Inc

  dba Physio-Gwinnett

  • Physical Therapy Clinic/Center
  • Lilburn, GA
  • NPI 1760568257
  Medicare reassignment NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1568813731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DAWSON COMMONS CIR STE 430",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346269",
            "telephone_number": "706-265-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DAWSON COMMONS CIR STE 430",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346269",
            "telephone_number": "706-265-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKASIAN",
        "first_name": "ALEXIS",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017570",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Amal-Jasmine Luke, PHARMD
• Penny Lanell Lunsford
• John T Maclachlan, FNP-BC
• Ronald Magat, M.D.
• Mozamel Ahmed Malik, DMD
• Gabriella Hope Malone
• Andrew Kevin Manderson
• Bilal Manzur, D.M.D.
• Rebecca Marrick, OTR/L
• Stephanie Marusarz

• Physical Therapist in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.