Active NPI
Brian Patrick Malone, MSPT, ATC
- Physical Therapist
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2113
- Practice address
- 751 E 36TH Ave
Suites 100 & 101
Anchorage, AK 99503-4141 - Phone
- (907) 563-2122
- Fax
- (907) 563-2133
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2632 | NE | |
| Physical Therapist | 225100000X | 2113 | AK | Primary |
Addresses
Primary practice location
751 E 36TH Ave
Suites 100 & 101
Anchorage, AK 99503-4141
Mailing address
751 E 36TH Ave
Suites 100 & 101
Anchorage, AK 99503-4141
Phone (907) 563-2122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39995 | Other | NE | BLUECROSS BLUESHIELD |
| P00677677 | Other | NE | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Latouche St
Suite 200
Anchorage, AK 99508-4208
Phone (907) 563-2122
360 Boniface Pkwy
Anchorage, AK 99504-4911
Phone (907) 563-2141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2632 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denali Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
Locations
751 E 36th Ave
Ste 100
Anchorage, AK 99503
Phone (907) 222-5090
360 Boniface Pkwy
Unit A26
Anchorage, AK 99504
Phone (907) 563-2141
809 S Chugach St
Ste 1
Palmer, AK 99645
Phone (907) 745-2575
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Anchorage, AK
- NPI 1558568766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1588874127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 E 36TH AVE",
"address_2": "SUITES 100 & 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034141",
"telephone_number": "907-563-2122",
"fax_number": "907-563-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 E 36TH AVE",
"address_2": "SUITES 100 & 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034141",
"telephone_number": "907-563-2122",
"fax_number": "907-563-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "BRIAN",
"middle_name": "PATRICK",
"credential": "MSPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2632",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "2113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "39995",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00677677",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.