Kelly Lang Malec, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008370 Issued in MI

Practice address

3950 Beaubien St
Detroit, MI 48201

Phone

(313) 832-9051

NPI assigned

Oct 17, 2012

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)

Enrolled

Practice roles

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.

• Detroit Institute for Children

  • Specialist
  • Commerce Township, MI
  • NPI 1770658239
  NPD (past)
• Detroit Institute for Children

  • Speech-Language Pathologist
  • Commerce Township, MI
  • NPI 1811061948
  NPD (past)

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1235482142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 BEAUBIEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012120",
            "telephone_number": "313-832-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 BEAUBIEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-832-9051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 E West Maple Rd Ste B-204",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483903816",
            "country_code": "US",
            "telephone_number": "248-926-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALEC",
        "first_name": "KELLY",
        "middle_name": "LANG",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Maldonado
• Jillian Paige Maldonado
• Nelson Jose Maldonado, M.D.
• Jessica Male, PHARM.D.
• Maleena Angeline Male, OTRL
• Malek Medical Consulting PLLC
• Roghieh Yliana Malekadeli, M.D.
• Michele Maleszyk, RN
• Kelly Maureen Malette, MD
• Jessica Ann Malhotra, FNP-C

• Occupational Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.