Brooke Malott, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1700 Thomas Paine Pkwy
Centerville, OH 45459-2541

Phone

(937) 428-6273

Fax

(937) 428-6273

NPI assigned

May 9, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Functional Friends Therapy Services LLC

  • Pediatric Occupational Therapist
  • Miamisburg, OH
  • NPI 1699645366
  NPD Authorized official
• Synergy Family Therapy Specialists Inc

  • Physical Therapy Clinic/Center
  • Centerville, OH
  • NPI 1508288804
  NPD

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1104516798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 THOMAS PAINE PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592541",
            "telephone_number": "937-428-6273",
            "fax_number": "937-428-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 THOMAS PAINE PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592541",
            "telephone_number": "937-428-6273",
            "fax_number": "937-428-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOTT",
        "first_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka L Machuca, LSW
• Heather Macinski, LCDC II
• Megan Linne Mackenzie, D.O.
• Magnolia Centerville LLC
• Benjamin Daniel Malcolm, FNP
• Rebecca Manning
• Brooke Lynette Manocchio, D.O.
• Gwen Manuel
• Valerie Jeanne Marcotte, M.A., CCC-A
• Melissa J Markham, LISW

• Occupational Therapist in Centerville, OH
• Providers in Centerville, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.