Emma Mallalieu, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214917 Issued in VA

Practice address

9325 Midlothian Tpke Ste a
North Chesterfield, VA 23235-4943

Phone

(757) 490-3223

Fax

(757) 490-2936

NPI assigned

Mar 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emma Landon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rehabilitation Associates Inc

  • Pediatric Physical Therapist
  • Virginia Beach, VA
  • NPI 1205860764
  NPD (past)

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1851041073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SOUTH BLVD STE 310",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521160",
            "telephone_number": "757-490-3223",
            "fax_number": "757-490-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 MIDLOTHIAN TPKE STE A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354943",
            "telephone_number": "757-490-3223",
            "fax_number": "757-490-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLALIEU",
        "first_name": "EMMA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "LANDON",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Parth Maheshwari, MD
• Mahogany Woolfolk
• Elizabeth Jane Maiden, FNP
• Lauren Guridy Maino, AUD
• Michael D Maldonado, M.D.
• Blair Mallory, OTR
• Mama'S House, LLC.
• Manifestini Coaching and Consulting LLC
• Garrett Manno
• Rasha Manoppo

• Physical Therapist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.