Individual provider Active NPI

Chase L Malloy

  • Physical Therapist
  • Grass Valley, CA
National Provider Identifier
1639869381
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307905 Issued in CA
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

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
307905CAMDPhysical Therapist
PT6514MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Physical Therapy, Incorporated Physical Therapist CurrentSince May 4, 2025 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.

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.

Verify at the official NPI Registry.