Individual provider Active NPI

Paul Anthony Maloney, MSPT

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1699883629
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3289 Issued in NM
Practice address
2954 Rodeo Park Dr W
Santa Fe, NM 87505-6351
Phone
(505) 424-0131
Fax
(505) 424-1299
NPI assigned
Aug 29, 2006
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 3289 NM Primary

Addresses

Primary practice location

2954 Rodeo Park Dr W
Santa Fe, NM 87505-6351

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other identifiers 1

IdentifierTypeStateIssuer
N4536MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190828002716 PA Practitioner - Physical Therapist in Private Practice 1153659180 Reassigns benefits to 1 organization
I20240319002357 MI Practitioner - Physical Therapist in Private Practice 1153659180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

29900 Southfield Rd
Southfield, MI 48076-2090
Phone (248) 663-0400

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3289NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Feb 27, 2024 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Feb 27, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients
New Mexico Sports & PT Past Accepting new patients
New Mexico Sports & Physical Therapy Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

202 E Van Riper Rd
Ste 200
Fowlerville, MI 48836
Phone (517) 223-2100

10860 Highland Rd
Hartland, MI 48353
Phone (810) 632-1000

1501 N Milford Rd
Ste 201
Milford, MI 48381
Phone (248) 676-0666

31372 Woodward Ave
Royal Oak, MI 48073
Phone (248) 591-4229

29900 Southfield Rd
Southfield, MI 48076
Phone (248) 663-0400

5159 Highland Rd
Waterford, MI 48327
Phone (248) 674-9560

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

6199 Haggerty Rd
West Bloomfield, MI 48322
Phone (248) 560-2505

28 E Ridge Pike
#A3
Conshohocken, PA 19428
Phone (484) 533-2692

1753 Kendarbren Dr
Ste 610
Jamison, PA 18929
Phone (215) 343-2141

615 N Morehall Rd
#200
Malvern, PA 19355
Phone (484) 329-2050

770 Newtown Yardley Rd
Newtown, PA 18940
Phone (215) 860-2990

1100 S Christopher Columbus Blvd
Ste 25
Philadelphia, PA 19147
Phone (267) 592-4508

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

9475 Roosevelt Blvd
#B4
Philadelphia, PA 19114
Phone (215) 464-6200

682 N West End Blvd
Quakertown, PA 18951
Phone (215) 892-1829

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

1810 E Ridge Pike
Ste 102
Royersford, PA 19468
Phone (484) 902-1460

3483 Lincoln Hwy
Unit 2
Thorndale, PA 19372
Phone (484) 784-4158

630 Easton Rd
Warrington, PA 18976
Phone (215) 491-5961

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1699883629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 RODEO PARK DR W",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056351",
            "telephone_number": "505-424-0131",
            "fax_number": "505-424-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N4536",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.