Mark C Malys, PT CHT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011497 Issued in NY

Practice address

77 Nelson Street
Suite 130
Auburn, NY 13021-1941

Phone

(315) 253-6891

Fax

(315) 255-0873

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1760475917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NELSON ST",
            "address_2": "SUITE 130",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211941",
            "telephone_number": "315-253-6891",
            "fax_number": "315-255-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NELSON STREET",
            "address_2": "SUITE 130",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211941",
            "telephone_number": "315-253-6891",
            "fax_number": "315-255-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALYS",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "PT CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Hoeft Macdonald, MD
• Angelia A Mack, LMSW
• Brandi Danielle Mack, MA-MFT, LMFT
• Nyla Malik, M.D.
• Malys Physical Therapy
• Mark J Lawn Optician
• David Marker, CRNA
• Timothy P Marks, LPN
• Marmor Ny Dental PC
• Amy Sue Marquart

• Physical Therapist in Auburn, NY
• Providers in Auburn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.