Active NPI
Amy Malley, OTR/L
- Occupational Therapist
- Fairfield, CT
National Provider Identifier
1194199596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008469-1
- Practice address
- 95 Oldfield Dr
Fairfield, CT 06824-6413 - Phone
- (203) 256-1535
- NPI assigned
- Nov 23, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 008469-1 | NY | Primary |
| Occupational Therapist | 225X00000X | 001829 | CT |
Addresses
Primary practice location
95 Oldfield Dr
Fairfield, CT 06824-6413
Mailing address
95 Oldfield Dr
Fairfield, CT 06824-6413
Phone (203) 256-1535
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 |
|---|---|---|---|
| 008469-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1194199596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 OLDFIELD DR",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246413",
"telephone_number": "203-256-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 OLDFIELD DR",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246413",
"telephone_number": "203-256-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLEY",
"first_name": "AMY",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-23",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "008469-1",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "001829",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.