Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Krishna Kumar Malliah, PT, DPT, OCS, FAAOMPT

Individual provider Physical Therapist · NPI 1083527857

Krishna Kumar Malliah, PT, DPT, OCS, FAAOMPT is a Physical Therapist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2026.

Licensed in
IN
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10106 Dupont Circle Dr E Ste 140
Fort Wayne, IN 46825-1640
Phone: (260) 416-5893
Fax: (260) 416-5895
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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 05009713A (IN)

Record details

NPI number1083527857
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , OCS , FAAOMPT
Sole proprietorNo
NPI enumeratedSeptember 23, 2026
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

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