Keeleigh Christine Malchow, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

107426 Issued in IA

Practice address

6901 Peckham St
Johnston, IA 50131-3143

Phone

(712) 898-8499

NPI assigned

Jul 6, 2021

Last updated

Jul 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  IA, Occupational Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1043881519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 PECKHAM ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501313143",
            "telephone_number": "712-898-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 PECKHAM ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501313143",
            "telephone_number": "712-898-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCHOW",
        "first_name": "KEELEIGH",
        "middle_name": "CHRISTINE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "107426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Marie Lugo Ruiz, DPT
• Cortrell Ligel Maddox Sr., CNA
• Tiana Maier
• Stephanie Main, RPH
• Danielle Kathryn Malatek, DNP, PMHNP-BC, AGCNS
• Megan Ann Manning
• Hannah E Martin, M.S., CCC-SLP
• Rebekah J Martin
• Elizabeth Renee Mathews, MA, CCC-SLP
• Kathleen Elizabeth McCabe

• Occupational Therapist in Johnston, IA
• Providers in Johnston, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.