Active NPI
Jonne Allen D Mallari
- Physical Therapist
- Tamuning, GU
National Provider Identifier
1699305656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-153
- 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, 2020
- 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 |
|---|---|---|---|---|
| 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.