Active NPI
Robert Jonathon Maloney Jr., P.T.
- Physical Therapist
- Farmville, VA
National Provider Identifier
1770767667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204789
- Practice address
- 800 Oak St
Farmville, VA 23901-1199 - Phone
- (434) 315-2920
- NPI assigned
- Dec 27, 2007
- Last updated
- Dec 27, 2007
- 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 | 2305204789 | VA | Primary |
Addresses
Primary practice location
800 Oak St
Farmville, VA 23901-1199
Mailing address
15 Shiloh CT
Palmyra, VA 22963-3217
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 |
|---|---|---|---|
| 2305204789 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1770767667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SHILOH CT",
"city": "PALMYRA",
"state": "VA",
"postal_code": "229633217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 OAK ST",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239011199",
"telephone_number": "434-315-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "ROBERT",
"middle_name": "JONATHON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmville, VA
- Longwood University
- Longwood University (Longwood Speech, Hearing and Learning Services)
- Longwood University (Longwood Speech, Hearing and Learning Services)
- Lynne M. Lunsford, PHD, LPC
- Brittany Malcolm
- Holly Lanea Mann, CSAC-S
- Supriya Mannepalli, M.D.
- Cynthia Anne Marsh
- Timothy Dean Marshall, D.D.S.
- Jonathan Eric Marston, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.