Individual provider Active NPI

Amy Maloley, O.T.

  • Occupational Therapist
  • Muskegon, MI
National Provider Identifier
1366998007
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201006378 Issued in MI
Practice address
1316 Mercy Drive
Muskegon, MI 49444-8735
Phone
(231) 739-9461
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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 5201006378 MI Primary

Addresses

Primary practice location

1316 Mercy Drive
Muskegon, MI 49444-8735

Mailing address

1316 Mercy Drive
Muskegon, MI 49444-8735
Phone (231) 739-9461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222000165 MI Practitioner - Occupational Therapist in Private Practice 2961783436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskegon Surgical Associates PCGroup PAC ID 0941262877, 27 clinicians

Practice addresses (Care Compare)

1675 Patriot Dr
Muskegon, MI 49444-7807
Phone (231) 739-9461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Muskegon Surgical Associates PC Occupational Therapist CurrentSince Jan 30, 2017 Accepting new patients

Locations

1316 Mercy Dr
Muskegon, MI 49444
Phone (231) 739-9461

1675 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-1933

Organizations & group practices 1

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1366998007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 MERCY DRIVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494448735",
            "telephone_number": "231-739-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 MERCY DRIVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494448735",
            "telephone_number": "231-739-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOLEY",
        "first_name": "AMY",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.