Detlef James Maltas, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

004685 Issued in IA

Practice address

6000 University Ave Ste 250
West Des Moines, IA 50266-8206

Phone

(515) 221-1102

Fax

(515) 221-1272

NPI assigned

Jan 11, 2011

Last updated

Jan 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  IA, Sports

  Medicare reassignment Care Compare group NPD
• Stadia Sports Medicine PC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • West Des Moines, IA
  • NPI 1962453274
  Medicare reassignment NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867
  NPD

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1841595535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE STE 250",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668206",
            "telephone_number": "515-221-1102",
            "fax_number": "515-221-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE STE 250",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668206",
            "telephone_number": "515-221-1102",
            "fax_number": "515-221-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTAS",
        "first_name": "DETLEF",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IA",
            "license": "004685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malea a Jensen DO PLLC (Center Stage Primary Care)
• John Anthony Maletta, DDS, MS
• Paige Nicole Mall
• James Christopher Mallen, DO
• Jami Lynn Malone, LISW
• Neil Mandsager, MD
• Stephanie Manglos, COTA
• Samuel Manirambona
• Rori Mankins, M.D.
• Madison Marie Mannel, CCC-A

• Sports Physical Therapist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Sports Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.