MRS. JESSICA KATHERINE MALOUF (NPI# 1477703049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477703049 |
Entity Type | Individual |
Full Name | MRS. JESSICA KATHERINE MALOUF |
Credential | DPT |
Practice Address |
1030 Centre Ave Ste B Fort Collins CO 80526-1849 |
Practice Telephone | 1406542307 |
Mailing Telephone | 1406542307 |
Enumeration Date | 2008-09-19 |
Last Update Date | 2016-04-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | 2171PT | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
0012895 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1030 CENTRE AVE STE B |
City | FORT COLLINS |
State | CO |
Zip Code | 80526-1849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235592460 | Mainstay Physical Therapy LLC | Physical Therapist | 1030 Centre Ave, Ste B, Fort Collins, CO 80526-1849 | 2016-04-04 |
1306233721 | Steven B. Kutash, Psy.d., Pllc | Psychologist | 1030 Centre Ave, Suite B, Fort Collins, CO 80526-1849 | 2015-04-23 |
1790127421 | Hearing Rehabilitation Center Inc | Audiologist | 1030 Centre Ave, Suite A, Fort Collins, CO 80526-1849 | 2013-07-23 |
1326272816 | Steven Brant Kutash | Psychologist | 1030 Centre Ave, Suite B, Fort Collins, CO 80526-1849 | 2009-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
Find all providers in zip 80526 |
Taxonomy Code | 2251N0400X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Neurology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639717424 | Colorado Physical Therapy Specialists Pllc | Physical Therapist | 115 E Harmony Rd Ste 160, Fort Collins, CO 80525-3280 | 2019-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093329559 | Katrina Sudduth | Physical Therapist | 12740 W Atlantic Ave, Lakewood, CO 80228-4308 | 2020-09-02 |
1457757023 | Karen Zacharewicz | Physical Therapist | 1750 N Humboldt St Ste 101, Denver, CO 80218-1130 | 2014-11-10 |
1720378425 | Tonya Fuller | Physical Therapist | 730 W Hampden Ave Ste 302, Englewood, CO 80110-2132 | 2011-04-14 |
1053446724 | Emily R. Moncheski | Physical Therapist | 2303 Constellation Dr, Colorado Springs, CO 80906 | 2007-02-22 |
1528687936 | Molly Elizabeth Jones | Physical Therapist | 175 S Union Blvd Ste 250, Colorado Springs, CO 80910-3125 | 2020-04-15 |
1164074852 | Wyatt A Machupa | Physical Therapist | 202 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3769 | 2019-07-12 |
1992269237 | Katherine Smulligan | Physical Therapist | 1700 E 17th Ave Ste 102, Denver, CO 80218-1668 | 2019-01-30 |
1194220871 | Leah Kroll-rosen | Physical Therapist | 900 Potomac St, Aurora, CO 80011-6716 | 2018-03-26 |
1417469701 | Tfl Provider Network LLC | Physical Therapist | 3996 Red Cedar Dr Unit A6, Highlands Ranch, CO 80126-8066 | 2017-10-26 |
1316312184 | Alice Caroline Monaco | Physical Therapist | 2233 Academy Pl, Suite 50, Colorado Springs, CO 80909-1696 | 2015-12-04 |
Find all providers with the same taxonomy |
City | FORT COLLINS |
Zip Code | 80526 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.