Cynthia Maltenfort

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

5613 Mount Burnside Way
Burke, VA 22015-2144

Phone

(571) 214-8648

NPI assigned

Aug 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1902453301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 MOUNT BURNSIDE WAY",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152144",
            "telephone_number": "571-214-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 MOUNT BURNSIDE WAY",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152144",
            "telephone_number": "571-214-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTENFORT",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BURKE",
            "affiliation": "N",
            "address_1": "5613 Mount Burnside Way",
            "city": "Burke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220152144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BURKE",
            "affiliation": "N",
            "address_1": "5613 Mount Burnside Way",
            "city": "Burke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220152144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ram Leandro Patino Madejas, DPT
• Magnificat Nutrition Services, Inc.
• Nina Mai, DNP, FNP-BC
• Lena Marion Maledon, DPT
• Maryam Maleki, OD
• Sharon Mancus
• Laura Mandeville, FNTP
• Martin G. Schuh, PH.D., Inc.
• Jeanne Ann Martin
• Angela Marwaha, D.M.D.

• Athletic Trainer in Burke, VA
• Providers in Burke, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.