Caleb Malvini

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7218 Issued in ID

Practice address

215 E Hawaii Ave
Nampa, ID 83686-6011

Phone

(208) 463-3244

NPI assigned

Jan 18, 2022

Last updated

Feb 6, 2023By the provider in NPPES

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 ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapeutic Associates IncGroup PAC ID 0042116279, 319 clinicians

Sawtooth Physical TherapyGroup PAC ID 1759552961, 22 clinicians

CSRM LLCGroup PAC ID 4789078312, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caleb.malvini.1@31414.direct.athenahealth.com

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.

• CSRM LLC

  dba Kestrel Therapy Group

  • Physical Therapist
  • Boise, ID
  • NPI 1669132353
  Medicare reassignment Care Compare group NPD
• Sawtooth Physical Therapy

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1013206002

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Therapeutic Associates Inc

  dba TAI SE Boise

  • Physical Therapist
  • Boise, ID
  • NPI 1487630240
  Medicare reassignment Care Compare group NPD
• Altitude Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Caldwell, ID
  • NPI 1619045309
  Medicare reassignment NPD
• CSRM LLC

  dba Kestrel Therapy Group

  • Hand Occupational Therapist
  • Nampa, ID
  • NPI 1306583109
  NPD
• Orthopaedic Trauma Consultants of Idaho

  dba North Fork Orthopedic Surgery

  • Orthopaedic Surgery Physician
  • Meridian, ID
  • NPI 1336907450
  NPD
• Sawtooth Physical Therapy

  • Hand Occupational Therapist
  • Meridian, ID
  • NPI 1003582040
  NPD
• Therapeutic Associates Inc

  dba TAI - Nampa Physical Therapy

  • Physical Therapist
  • Nampa, ID
  • NPI 1174766158
  NPD
• Therapeutic Associates Inc

  dba TAI - Rock Creek

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1710638028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CONSTITUTION WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E HAWAII AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866011",
            "telephone_number": "208-463-3244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Constitution Way",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836866018",
            "country_code": "US",
            "telephone_number": "208-205-0160 x50162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALVINI",
        "first_name": "CALEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-18",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "7218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Malan, DDS
• Sarah Coleen Mallard, N.C.C., L.P.C.
• Sabrina Mallett
• Roger Scott Malm, PA
• Lenard L Malmin Jr., CNP
• Samantha Mancino
• Elizabeth Mangeac, PHAMD
• Stephan Mangeac
• Daniella Manirakiza
• Larissa Mann, AU.D.

• Physical Therapist in Nampa, ID
• Providers in Nampa, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.