Active NPI
Chase L Malloy
- Physical Therapist
- Grass Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 307905
- Practice address
- 565 Brunswick Rd Ste 4
Grass Valley, CA 95945-9529 - Phone
- (530) 273-4153
- NPI assigned
- May 8, 2023
- 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 | PT6514 | ME | |
| Physical Therapist | 225100000X | 307905 | CA | Primary |
Addresses
Primary practice location
565 Brunswick Rd Ste 4
Grass Valley, CA 95945-9529
Mailing address
202 Bagley Rd
Madison, ME 04950-3522
Phone (207) 431-5541
Other practice location 1
3801 Santa Rosa Dr
Kingman, AZ 86401-2311
Phone (928) 757-2101
Other practice location 2
700 Birch Ln
Waynesville, MO 65583-2275
Phone (573) 774-6456
Other practice location 3
114 Bath Rd Ste 201
Brunswick, ME 04011-2606
Phone (207) 884-8923
Other practice location 4
177 Vulcan Dr
Lompoc, CA 93436-1406
Phone (805) 733-7500
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307905 | CA | MD | Physical Therapist |
| PT6514 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus Physical Therapy, Incorporated | Physical Therapist | Current | Accepting new patients |
Locations
177 Vulcan Dr
Lompoc, CA 93436
Phone (805) 733-7500
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
- Lompoc, CA
- NPI 1891014510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1639869381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 BAGLEY RD",
"city": "MADISON",
"state": "ME",
"postal_code": "049503522",
"telephone_number": "207-431-5541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 BRUNSWICK RD STE 4",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959459529",
"telephone_number": "530-273-4153"
}
],
"practiceLocations": [
{
"address_1": "3801 Santa Rosa Dr",
"address_purpose": "LOCATION",
"city": "Kingman",
"state": "AZ",
"postal_code": "864012311",
"country_code": "US",
"telephone_number": "928-757-2101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Birch Ln",
"address_purpose": "LOCATION",
"city": "Waynesville",
"state": "MO",
"postal_code": "655832275",
"country_code": "US",
"telephone_number": "573-774-6456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "114 Bath Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "ME",
"postal_code": "040112606",
"country_code": "US",
"telephone_number": "207-884-8923",
"fax_number": "207-884-8972",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "177 Vulcan Dr",
"address_purpose": "LOCATION",
"city": "Lompoc",
"state": "CA",
"postal_code": "934361406",
"country_code": "US",
"telephone_number": "805-733-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLOY",
"first_name": "CHASE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT6514",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "307905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.