Individual provider Active NPI

Daniela Malsbury

  • Physical Therapy Assistant
  • Pompano Beach, FL
National Provider Identifier
1932412483
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA11673 Issued in FL
Practice address
5064 NE 19 Ave
Pompano Beach, FL 33064-5712
Phone
(954) 632-7371
NPI assigned
Jul 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA11673 FL Primary

Addresses

Primary practice location

5064 NE 19 Ave
Pompano Beach, FL 33064-5712

Mailing address

6343 Via de Sonrisa del Sur
Stratford Court at Boca Pointe
Boca Raton, FL 33433-8211
Phone (954) 632-7371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA11673FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1932412483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 VIA DE SONRISA DEL SUR",
            "address_2": "STRATFORD COURT AT BOCA POINTE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334338211",
            "telephone_number": "954-632-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5064 NE 19 AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645712",
            "telephone_number": "954-632-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALSBURY",
        "first_name": "DANIELA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA11673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.