Malik Minter, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1390055 Issued in TX

Practice address

9525 N Beach St Ste 413
Fort Worth, TX 76244-6438

Phone

(817) 756-9892

Fax

(817) 502-7412

NPI assigned

Mar 8, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Axis Brain and Back Institute PLLC

  • Neurological Surgery Physician
  • Southlake, TX
  • NPI 1689085193

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1699533273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 N BEACH ST STE 413",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446438",
            "telephone_number": "817-756-9892",
            "fax_number": "817-502-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 N BEACH ST STE 413",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446438",
            "telephone_number": "817-756-9892",
            "fax_number": "817-502-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTER",
        "first_name": "MALIK",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1390055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Minski, DNP, APRN, AGACNP-BC
• Mint Dentistry PLLC
• Mint Dentistry, PLLC
• Mint Dentistry, PLLC
• Mint Leaf Dental PLLC
• Ellis L Minton, MD
• Minyard Food Stores Inc.
• Minyard Food Stores Inc.
• Minyard Food Stores Inc.
• Minyard Food Stores Inc.

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.