Active NPI
Joshua Lucas Maloney
- Physical Therapist
- Crystal Springs, MS
National Provider Identifier
1760887483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5628
- Practice address
- 102 W Railroad Ave N
Crystal Springs, MS 39059-2154 - Phone
- (601) 892-8707
- NPI assigned
- Oct 23, 2014
- Last updated
- Oct 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | PT5628 | MS | Primary |
Addresses
Primary practice location
102 W Railroad Ave N
Crystal Springs, MS 39059-2154
Mailing address
147 Links Dr
38J
Canton, MS 39046-5213
Phone (931) 472-9908
Other names 1
- Joshua Lucas Maloney
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5628 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1760887483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 LINKS DR",
"address_2": "38J",
"city": "CANTON",
"state": "MS",
"postal_code": "390465213",
"telephone_number": "931-472-9908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W RAILROAD AVE N",
"city": "CRYSTAL SPRINGS",
"state": "MS",
"postal_code": "390592154",
"telephone_number": "601-892-8707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "JOSHUA",
"middle_name": "LUCAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-23",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT5628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSHUA",
"last_name": "MALONEY",
"middle_name": "LUCAS",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Crystal Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.