Healthcare Provider Details

I. General information

NPI: 1457268906
Provider Name (Legal Business Name): EMILY MALONE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 N LITCHFIELD RD STE 100
GOODYEAR AZ
85395-7805
US

IV. Provider business mailing address

24014 W RENWICK RD STE 206
PLAINFIELD IL
60544-8711
US

V. Phone/Fax

Practice location:
  • Phone: 800-974-4378
  • Fax:
Mailing address:
  • Phone: 800-974-4378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-034945
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: