Active NPI
Sharon Diane Malinowski, OTRL
- Occupational Therapist
- Royal Oak, MI
National Provider Identifier
1093217564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201004636
- Practice address
- 4949 Coolidge Hwy Section E, Adult Neuro OT
Royal Oak, MI 48067 - Phone
- (248) 655-5800
- Fax
- (248) 655-5801
- NPI assigned
- Mar 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201004636 | MI | Primary |
Addresses
Primary practice location
4949 Coolidge Hwy Section E, Adult Neuro OT
Royal Oak, MI 48067
Mailing address
4949 Coolidge Hwy Section E, Adult Neuro OT
Royal Oak, MI 48067
Phone (248) 655-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201004636 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1093217564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 COOLIDGE HWY SECTION E, ADULT NEURO OT",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48067",
"telephone_number": "248-655-5800",
"fax_number": "248-655-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 COOLIDGE HWY SECTION E, ADULT NEURO OT",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48067",
"telephone_number": "248-655-5800",
"fax_number": "248-655-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALINOWSKI",
"first_name": "SHARON",
"middle_name": "DIANE",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-01",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201004636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.