IndividualActive
Resa Malloy, PT
NPI 1043334451 · Physical Therapist · Green Bay, WI
Provider details
- NPI number
- 1043334451
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 9546 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2502 S. Ashland Ave.
Green Bay, WI 54304
Phone: (920) 496-4700
Street-level locationGet directions
Mailing address
Po Box 19070
Green Bay, WI 54307-9070
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2020-10-06
- Certified
- 2020-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.