Active NPI
Michael G Malcolm, PT
- Physical Therapist
- Wichita, KS
National Provider Identifier
1841211646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1102987
- Practice address
- 7550 W Village Cir
Ste 1
Wichita, KS 67205-9363 - Phone
- (316) 838-2020
- Fax
- (316) 838-7574
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 1102987 | KS | Primary |
Addresses
Primary practice location
7550 W Village Cir
Ste 1
Wichita, KS 67205-9363
Mailing address
7550 W Village Cir
Ste 1
Wichita, KS 67205-9363
Phone (316) 838-2020
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1102987 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Orthopaedic Center, P.a. | 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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Wichita, KS
- NPI 1437139979
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": "1203465600000",
"number": "1841211646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 W VILLAGE CIR",
"address_2": "STE 1",
"city": "WICHITA",
"state": "KS",
"postal_code": "672059363",
"telephone_number": "316-838-2020",
"fax_number": "316-838-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 W VILLAGE CIR",
"address_2": "STE 1",
"city": "WICHITA",
"state": "KS",
"postal_code": "672059363",
"telephone_number": "316-838-2020",
"fax_number": "316-838-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALCOLM",
"first_name": "MICHAEL",
"middle_name": "G",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "1102987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.