Provider Demographics
NPI:1679051247
Name:MALEK, ADAM JOSEPH (PT, DPT, SCS)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:JOSEPH
Last Name:MALEK
Suffix:
Gender:M
Credentials:PT, DPT, SCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6051 ALMA RD
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2139
Mailing Address - Country:US
Mailing Address - Phone:832-233-0615
Mailing Address - Fax:
Practice Address - Street 1:1400 W HEBRON PKWY
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-6317
Practice Address - Country:US
Practice Address - Phone:832-233-0615
Practice Address - Fax:972-492-3487
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-05
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
12778292251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports