Individual provider Active NPI

Amy Malone, MPT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1891839668
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5530 Issued in OK
Practice address
4008 S Yale Ave
Tulsa, OK 74135
Phone
(918) 622-4278
Fax
(918) 622-4844
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34290 CA
Physical Therapist 225100000X 070-014999 IL
Physical Therapist 225100000X 5530 OK Primary

Addresses

Primary practice location

4008 S Yale Ave
Tulsa, OK 74135

Mailing address

4812 E 33Rd St
Tulsa, OK 74135-2038
Phone (918) 622-4126

Other practice location 1

1644 N Milwaukee Ave
Chicago, IL 60647-5412
Phone (773) 252-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611001984 OK Practitioner - Physical Therapist in Private Practice 9739230152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redbud Physical Therapy LLCGroup PAC ID 4486939949, 32 clinicians

Practice addresses (Care Compare)

4008 S Yale Ave
Tulsa, OK 74135-6017
Phone (918) 622-4278

Merit-based Incentive Payment System (MIPS)

Final score
74.5 of 100Reported as individual
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
34290CAMDChiropractor
5530OKMDEmergency Medicine Physician
PT34290CAMDPhysical Therapist
070-014999ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redbud Physical Therapy LLC Physical Therapist CurrentSince May 25, 2018 Accepting new patients
Redbud Physical Therapy LLC CurrentSince May 25, 2018 Accepting new patients
Vargo Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

1118 S Main St
Grove, OK 74344
Phone (918) 786-9883

4812 E 33rd St
Tulsa, OK 74135
Phone (918) 622-4126

4526 S Peoria Ave
Tulsa, OK 74105
Phone (918) 794-9000

4008 S Yale Ave
Tulsa, OK 74135
Phone (918) 622-4126

Organizations & group practices 3

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1891839668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 E 33RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352038",
            "telephone_number": "918-622-4126",
            "fax_number": "918-270-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-622-4278",
            "fax_number": "918-622-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1644 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606475412",
            "country_code": "US",
            "telephone_number": "773-252-2300",
            "fax_number": "773-252-2319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "AMY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34290",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-014999",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.