KAITLYN MALONEY (NPI# 1750947586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750947586 |
| Entity Type | Individual |
| Full Name | KAITLYN MALONEY |
| Credential | MS. ED., ATC, LAT |
| Practice Address |
125 Jan Ln Apt 2 De Soto IL 62924-0045 |
| Practice Telephone | 3023536468 |
| Mailing Telephone | 3023536468 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
2000017799 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215366711 | Kaitlyn Erin Maloney | Counselor | 275 Belmont St, Worcester, MA 01604-1675 | 2013-11-05 |
| Street Address |
125 JAN LN APT 2 |
| City | DE SOTO |
| State | IL |
| Zip Code | 62924-0045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700904216 | Desoto Cons School District 86 | Clinic/Center | 311 Hurst Rd, De Soto, IL 62924-1228 | 2007-03-26 |
| 1225200850 | Desoto Ccsd 86 | Clinic/Center | 311 Hurst Rd, De Soto, IL 62924-1228 | 2008-03-24 |
| 1184829996 | Thomas W. Kupferer, D.o. | Clinic/Center | 407 S Chestnut St, De Soto, IL 62924-1400 | 2007-06-20 |
| 1396100269 | Skystar Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 E Douglas St, De Soto, IL 62924-1516 | 2015-12-21 |
| 1700495819 | Meghan Jo Shackleton | Nurse Practitioner | 204 N Reed Station Rd, De Soto, IL 62924-1612 | 2020-07-24 |
| 1871844415 | Pam Collins | Developmental Therapist | 1371 Leo Ln, De Soto, IL 62924-2220 | 2012-09-22 |
| 1366681397 | Louisette C. Plath | Psychologist | 151 Vaughn Rd, De Soto, IL 62924-3445 | 2009-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495819 | Meghan Jo Shackleton | Nurse Practitioner | 204 N Reed Station Rd, De Soto, IL 62924-1612 | 2020-07-24 |
| 1558986000 | Christy Lynn Pashia | Counselor | 116 N 2nd St # B, De Soto, MO 63020-1701 | 2020-06-10 |
| 1356963060 | Joshua Lee Lahr | Physician Assistant | 33345 W 87th Ter, De Soto, KS 66018-7952 | 2020-05-15 |
| 1912557844 | Gabriela Marie Garza | Physician Assistant | 10160 Waverly Rd, De Soto, KS 66018-7996 | 2019-09-12 |
| 1700435385 | Patsy Maness | Technician | 5100 Knorpp Road, De Soto, MO 63020 | 2019-09-06 |
| 1184272668 | Savanah Santonge | Technician | 608 Perry St, De Soto, MO 63020-1136 | 2019-08-28 |
| 1982250494 | Laura J Peek | Pathology | 8960 Commerce Dr Bldg 6, De Soto, KS 66018-8433 | 2019-08-12 |
| 1528610946 | Korinne Elizabeth Sackett | Pharmacist | 2020 Rock Rd, De Soto, MO 63020-1052 | 2019-07-15 |
| 1326608985 | Rachel Meyer | Speech-Language Pathologist | 650 Vineland School Rd, De Soto, MO 63020-2561 | 2019-06-17 |
| 1043877004 | Reilly Schultz | Case Management | 31505 W 85th St, De Soto, KS 66018-7804 | 2019-05-24 |
| Find all providers in DE SOTO | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900409 | Michael Reavy | Physical Medicine & Rehabilitation | 90 Skokie Blvd, Wilmette, IL 60091-3054 | 2020-10-25 |
| 1134688294 | Ashraf Ali Elkossei | Physical Medicine & Rehabilitation | 9215 S Tripp Ave, Oak Lawn, IL 60453-1938 | 2019-03-18 |
| 1457854119 | Arielle Willett | Physical Medicine & Rehabilitation | 505 Washington Blvd, Oak Park, IL 60302-4005 | 2018-03-08 |
| 1205228475 | Elizabeth Palagi | Physical Medicine & Rehabilitation | 16825 Shannon Ct, Tinley Park, IL 60477-6551 | 2015-02-25 |
| 1780003178 | Paula Weihler Sc | Physical Medicine & Rehabilitation | 129 Commercial Dr, Unit 5b, Yorkville, IL 60560-4729 | 2014-04-14 |
| 1598920977 | Prescriptive Wellness LLC | Physical Medicine & Rehabilitation | 3330 W 177th St Ste 3f, Hazel Crest, IL 60429-2197 | 2008-07-24 |
| 1639356488 | Ukpenahiusi S Ighodaro | Physical Medicine & Rehabilitation | 231 W Main St Ste 101, Carpentersville, IL 60110-1772 | 2008-01-23 |
| 1619057338 | Charles Lawrence Carlton | Physical Medicine & Rehabilitation | 6007 N Sheridan Rd Apt 20a, Chicago, IL 60660-3005 | 2006-10-17 |
| 1932142973 | Philip H Dennis | Physical Medicine & Rehabilitation | 441 S State Route 157 Ste 102, Edwardsville, IL 62025-4017 | 2006-06-14 |
| 1780622746 | Terry L Nicola | Physical Medicine & Rehabilitation | 839 W Roosevelt Rd, Suite #102, Chicago, IL 60608-1530 | 2006-06-03 |
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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.