Individual provider Active NPI

Anthony C. a. Malik, DPT

  • Physical Therapist
  • Knoxville, MD
National Provider Identifier
1649938069
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28785 Issued in MD
Practice address
3785 Maplecrest Dr
Knoxville, MD 21758-9118
Phone
(240) 397-4092
NPI assigned
Dec 2, 2021
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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 28785 MD Primary
Orthopedic Physical Therapist 2251X0800X

Addresses

Primary practice location

3785 Maplecrest Dr
Knoxville, MD 21758-9118

Mailing address

3785 Maplecrest Dr
Knoxville, MD 21758-9118
Phone (240) 397-4092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211217001064 DC Practitioner - Physical Therapist in Private Practice 3971994435 Reassigns benefits to 2 organizations
I20250210000643 TX Practitioner - Physical Therapist in Private Practice 3971994435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 N Williamson Ave
Little Colorado Medical Center
Winslow, AZ 86047-2735
Phone (928) 289-4646

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.92

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28785MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Mar 8, 2024 Accepting new patients
Winslow Indian Health Care Center, Inc Current Accepting new patients
Winslow Indian Health Care Group CurrentSince Feb 10, 2025 Accepting new patients
Dilkon Medical Center Current Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Feb 10, 2025 Accepting new patients

Locations

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047

3508 Connecticut Ave NW
Washington, DC 20008
Phone (202) 897-3890

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1649938069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 MAPLECREST DR",
            "city": "KNOXVILLE",
            "state": "MD",
            "postal_code": "217589118",
            "telephone_number": "240-397-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 MAPLECREST DR",
            "city": "KNOXVILLE",
            "state": "MD",
            "postal_code": "217589118",
            "telephone_number": "240-397-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "ANTHONY",
        "middle_name": "C. A.",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28785",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.

Verify at the official NPI Registry.