Individual provider Active NPI

Mallory Drenth, OTR/L

  • Occupational Therapist
  • Schaumburg, IL
National Provider Identifier
1346849544
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.013151 Issued in IL
Practice address
350 W Schaumburg Rd
Schaumburg, IL 60194-3464
Phone
(847) 884-5832
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.013151 IL Primary

Addresses

Primary practice location

350 W Schaumburg Rd
Schaumburg, IL 60194-3464

Mailing address

150 Forest Ave Unit 1803
Oak Park, IL 60301-1461
Phone (712) 540-8079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414001903 TX Practitioner - Occupational Therapist in Private Practice 6305360157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omaha Tribe of Nebraska 21 clinicians

Practice addresses (Care Compare)

923 Senior Cir
Macy, NE 68039-4018
Phone (402) 837-5381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.013151ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha Tribe of Nebraska Current Accepting new patients
Omaha Tribe of Nebraska CurrentSince Feb 6, 2025 Accepting new patients
Omaha Tribe of Nebraska CurrentSince Feb 6, 2025 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1346849544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FOREST AVE UNIT 1803",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011461",
            "telephone_number": "712-540-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943464",
            "telephone_number": "847-884-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENTH",
        "first_name": "MALLORY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.