Braxton Lelia Malan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE1001267 Issued in PA

Practice address

6 S Madder Dr
Mechanicsburg, PA 17050-7954

Phone

(717) 620-8109

Fax

(717) 918-2020

NPI assigned

May 7, 2010

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Ican Ability Specialists, Inc

  • Occupational Therapist
  • Mechanicsburg, PA
  • NPI 1730332230
  NPD (past)

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1962720474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SUNFIRE AVE",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111019",
            "telephone_number": "717-731-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S MADDER DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507954",
            "telephone_number": "717-620-8109",
            "fax_number": "717-918-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAN",
        "first_name": "BRAXTON",
        "middle_name": "LELIA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1001267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Mader
• Rachel Maenner, PA-C
• Dipal Magia, DPT
• Adem Gemal Mahmud, DDS
• Margaret Mailey, MS
• Kathleen S Mali, OT
• Keith K Maliniak, MD
• Robert Anthony Malizia, M.D.
• Rajeswari Manam
• Kathy K Mancuso, CCC-SLP

• Physical Therapy Assistant in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.