Individual provider Active NPI

Jonne Allen D Mallari

  • Physical Therapist
  • Tamuning, GU
National Provider Identifier
1699305656
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-153 Issued in GU
Practice address
809 Chalan Pasaheru Unit 2
Tamuning, GU 96913-4132
Phone
(671) 647-5355
Fax
(671) 647-5358
NPI assigned
Jan 17, 2020
Last updated
Jan 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-153 GU Primary

Addresses

Primary practice location

809 Chalan Pasaheru Unit 2
Tamuning, GU 96913-4132

Mailing address

PO Box 8838
Tamuning, GU 96931-8838
Phone (671) 647-5355

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

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1699305656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8838",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969318838",
            "telephone_number": "671-647-5355",
            "fax_number": "671-647-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CHALAN PASAHERU UNIT 2",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134132",
            "telephone_number": "671-647-5355",
            "fax_number": "671-647-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARI",
        "first_name": "JONNE ALLEN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GU",
            "license": "PT-153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.