Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carl Malmquist IV

Individual provider Physical Therapist · NPI 1093582645

Carl Malmquist IV is a Physical Therapist in Private Practice in Stafford, Virginia. Graduated from Creighton University School of Medicine in 2023, 3 years ago. Practices with Synergy Physical Therapy and Sports Medicine LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Trained at
Creighton University School of Medicine
Licensed in
VA
In the registry since
2023
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Practice location Address checks out

392 Garrisonville Rd Ste 211
Stafford, VA 22554-1500
Phone: (540) 602-4277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305216263 (VA)

Record details

NPI number1093582645
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 5, 2023
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025
Mailing address991 Forsythia Ln, Stafford, VA 22554-7360

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Synergy Physical Therapy And Sports Medicine Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stafford