Individual provider Active NPI

Darlene Maria Malley, COTA/L

  • Occupational Therapy Assistant
  • Glen Burnie, MD
National Provider Identifier
1245542943
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
A00-531 Issued in MD
Practice address
7602 McNamara Dr.
Darlene Malley
Glenburnie, MD 21061
Phone
(866) 566-5310
Fax
(866) 566-5311
NPI assigned
Jul 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A00-531 MD Primary

Addresses

Primary practice location

7602 McNamara Dr.
Darlene Malley
Glenburnie, MD 21061

Mailing address

14502 Greenview Dr Ste 406
Supplemental Health Care
Laurel, MD 20708
Phone (866) 566-5310

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

LicenseStateTypeSpecialty
A00-531MDMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1245542943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR STE 406",
            "address_2": "SUPPLEMENTAL HEALTH CARE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20708",
            "telephone_number": "866-566-5310",
            "fax_number": "866-566-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 MCNAMARA DR.",
            "address_2": "DARLENE MALLEY",
            "city": "GLENBURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "866-566-5310",
            "fax_number": "866-566-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEY",
        "first_name": "DARLENE",
        "middle_name": "MARIA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A00-531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.