Nathaniel J Malo (NPI# 1730463993, PAC ID# 5991978124) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1730463993 |
| PAC ID by PECOS | 5991978124 |
| Professional Enrollment ID | I20111102000734 |
| Full Name | Nathaniel J Malo |
| Organization Legal Name | SPORTS AND ORTHOPEDIC PHYSICAL THERAPY CLINIC INC |
| Address |
6335 N Fresno St Suite 108 Fresno CA 93710-5272 |
| Phone Number | 5594320524 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9436314200 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 4080 N Cedar Ave, Fresno, CA 93726-5267 | 5592981813 | PHYSIOMOTION PHYSICAL THERAPY, INC. |
| 6335 N Fresno St, Suite 108, Fresno, CA 93710-5272 | 5594320524 | SPORTS AND ORTHOPEDIC PHYSICAL THERAPY CLINIC INC |
| Organization Legal Name | SPORTS AND ORTHOPEDIC PHYSICAL THERAPY CLINIC INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy S Hicks | Physical Therapy | Sports and Orthopedic Physical Therapy Clinic Inc | 6335 N Fresno St, Suite 108, Fresno, CA 93710-5272 |
| Michelle Lennea Donovan | Physical Therapy | Sports and Orthopedic Physical Therapy Clinic Inc | 6335 N Fresno St, Suite 108, Fresno, CA 93710-5272 |
| Ross B Piche | Physical Therapy | Sports and Orthopedic Physical Therapy Clinic Inc | 6335 N Fresno St, Suite 108, Fresno, CA 93710-5272 |
| Travis L Hunsaker | Physical Therapy | Sports and Orthopedic Physical Therapy Clinic Inc | 6335 N Fresno St, Suite 108, Fresno, CA 93710-5272 |
| Street Address |
6335 N FRESNO ST SUITE 108 |
| City | FRESNO |
| State | CA |
| Zip | 93710-5272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy S Hicks | Physical Therapy | Sports and Orthopedic Physical Therapy Clinic Inc | 6335 N Fresno St, Suite 108, Fresno, CA 93710-5272 |
| Michelle Lennea Donovan | Physical Therapy | Sports and Orthopedic Physical Therapy Clinic Inc | 6335 N Fresno St, Suite 108, Fresno, CA 93710-5272 |
| Douglas R Swinehart | Dermatology | 6335 N Fresno St, Suite 201, Fresno, CA 93710-5272 | |
| Patrick W Mullen | Podiatry | 6335 N Fresno St, Suite 208, Fresno, CA 93710-5272 | |
| Mary Louise Lindae | Dermatology | 6335 N Fresno St, Suite 206, Fresno, CA 93710-5272 | |
| Ross B Piche | Physical Therapy | Sports and Orthopedic Physical Therapy Clinic Inc | 6335 N Fresno St, Suite 108, Fresno, CA 93710-5272 |
| Travis L Hunsaker | Physical Therapy | Sports and Orthopedic Physical Therapy Clinic Inc | 6335 N Fresno St, Suite 108, Fresno, CA 93710-5272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Debenedetto | Chiropractic | 1706 E Bullard St, Suite 101, Fresno, CA 93710 | |
| Perminder J S Bhatia | Neurology | Neuro-pain Medical Center Inc | 736 E Bullard, Suite 101, Fresno, CA 93710 |
| David Nicholas Baker | Physician Assistant | Neuro-pain Medical Center Inc | 736 E Bullard, Suite 101, Fresno, CA 93710 |
| Robert P Hansen | Undefined Physician Type (specify) | 6721 N Willow Ave, Suite 101, Fresno, CA 93710-0000 | |
| Paul Ky | Physical Medicine and Rehabilitation | 6769 N Fresno St, Suite 206, Fresno, CA 93710-3715 | |
| Pa Heu | Family Medicine | 6769 N Fresno St, Suite 204, Fresno, CA 93710-3715 | |
| Jane F Kardashian | Dermatology | 6769 N Fresno St, Fresno, CA 93710-3715 | |
| Ogonna I Onyeje | Internal Medicine | 6769 N Fresno St, Suite 201, Fresno, CA 93710-3715 | |
| Ifeatu Emmanuel Ekelem | Family Practice | Impact Medical Group Professional Corporation | 6769 N Fresno St, Suite 201, Fresno, CA 93710-3715 |
| Aryan Pazirandeh | Optometry | David B Kaye, Md, Inc | 6767 N Fresno St, Fresno, CA 93710-3739 |
| Find all physicians in zip 93710 | |||
| City | FRESNO |
| Zip Code | 93710 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FRESNO + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Nathaniel J Malo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.