Active NPI
Paul Michael Malloy, ATC
- Athletic Trainer
- Nashville, TN
National Provider Identifier
1609839794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT 0000000642
- Practice address
- Belmont University / Vanderbilt Orthopaedic Instit
1215 21St Avenue South, Suite 4200
Nashville, TN 37232-0001 - Phone
- (615) 460-5585
- NPI assigned
- Apr 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT 0000000642 | TN | Primary |
Addresses
Primary practice location
Belmont University / Vanderbilt Orthopaedic Instit
1215 21St Avenue South, Suite 4200
Nashville, TN 37232-0001
Mailing address
1204 Kirkland Ave
Nashville, TN 37216-3217
Phone (615) 418-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 0000000642 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1609839794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 KIRKLAND AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372163217",
"telephone_number": "615-418-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BELMONT UNIVERSITY / VANDERBILT ORTHOPAEDIC INSTIT",
"address_2": "1215 21ST AVENUE SOUTH, SUITE 4200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320001",
"telephone_number": "615-460-5585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOY",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "AT 0000000642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
- Mallory Psychological and Consulting Services, LLC
- Edward Kemp Mallory, DPH
- Paul William Mallory, M.D.
- Jama Elizabeth Malloy, MSN, APRN, PMHNP-BC
- Kelsey Willen Malloy, M.D.
- Morgan Elizabeth Mallozzi, PA
- Malone Drug Company
- Bethany H. Malone, CRNP
- Danielle L Malone, OTR/L-CLT
- Jessika Elizabeth Malone, LPC-MHSP-(T)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.