Individual provider Active NPI

Daria Maliesky

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1962184168
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0019259 Issued in CO
Practice address
6189 Lehman Dr Ste 202
Colorado Springs, CO 80918-5409
Phone
(719) 694-8342
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0019259 CO Primary

Addresses

Primary practice location

6189 Lehman Dr Ste 202
Colorado Springs, CO 80918-5409

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (502) 576-3282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831002417 CO Practitioner - Physical Therapist in Private Practice 2365805884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019259COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Edge Physical Therapy Specialists LLC Physical Therapist CurrentSince Aug 16, 2023 Accepting new patients
Select Physical Therapy of Colorado Springs LP Past Accepting new patients
Select Physical Therapy of Colorado Springs LP PastSince Aug 2, 2020 Accepting new patients

Locations

6189 Lehman Dr
Ste 202
Colorado Springs, CO 80918
Phone (719) 694-8342

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1962184168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "502-576-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6189 LEHMAN DR STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185409",
            "telephone_number": "719-694-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIESKY",
        "first_name": "DARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.