Individual provider Active NPI

Michael John Malawey, P.T. , DPT

  • Physical Therapist
  • Brentwood, TN
National Provider Identifier
1780605261
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000010226 Issued in TN
Practice address
2308 Brookfield Dr
Brentwood, TN 37027-3720
Phone
(615) 283-8200
Fax
(615) 283-8200
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT21420 CA
Physical Therapist 225100000X PT0000010226 TN Primary

Addresses

Primary practice location

2308 Brookfield Dr
Brentwood, TN 37027-3720

Mailing address

2308 Brookfield Dr
Brentwood, TN 37027-3720
Phone (615) 283-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421000567 TN Practitioner - Physical Therapist in Private Practice 5799782827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Rehabilitation Services, LLCGroup PAC ID 5496167728, 3 clinicians

Practice addresses (Care Compare)

1227 N Washington Ave
Suite 106
Cookeville, TN 38501-1837
Phone (931) 400-0725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0000010226TNMDPhysical Therapist
PT21420CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Rehabilitation Services LLC Physical Therapist CurrentSince Oct 10, 2023 Accepting new patients

Locations

1227 N Washington Ave
Ste 106
Cookeville, TN 38501
Phone (931) 400-0724

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1780605261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 BROOKFIELD DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273720",
            "telephone_number": "615-283-8200",
            "fax_number": "615-283-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 BROOKFIELD DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273720",
            "telephone_number": "615-283-8200",
            "fax_number": "615-283-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAWEY",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "P.T. , DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT21420",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000010226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.