Kathleen Malcolm

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2559 Issued in CT

Practice address

Apple Rehab Saybrook
1775 Boston Post Rd
Old Saybrook, CT 06475

Phone

(860) 399-6216

NPI assigned

Feb 22, 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

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1912464223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COACHMAN DR",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052734",
            "telephone_number": "203-927-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "APPLE REHAB SAYBROOK",
            "address_2": "1775 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "06475",
            "telephone_number": "860-399-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "2559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc.
• Kelly Dehart Lydiksen, LMFT-A
• George L Lynn, PSYD
• David L Macdonald, O.D.
• Christine Major
• Marguerite Ruppenicker LLC
• Courtney Mariita, LCSW
• Jillian Marmaras, MS ED, BCBA
• Debra Ellen Mashberg, PH.D.
• Maria Masotta, PSY.D.

• Physical Medicine & Rehabilitation Physician in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.