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

Jason Isaac Malcomb, DPT

Individual provider Physical Therapist · NPI 1275225047

Jason Isaac Malcomb, DPT is a Physical Therapist in Fayetteville, West Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

5447 Maple Ln
Fayetteville, WV 25840-6872
Phone: (304) 574-1141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1275225047
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address68 Malcomb Dr, Summersville, WV 26651-1283

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