Mariam Jalloh, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

A03119 Issued in MD

Practice address

6710 Mallery Dr
Lanham, MD 20706-3964

Phone

(301) 552-2000

NPI assigned

Aug 9, 2023

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

Other names 1

• Mariam Jalloh Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1407539091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 TURF FIELD CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205831",
            "telephone_number": "703-475-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 MALLERY DR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063964",
            "telephone_number": "301-552-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLOH",
        "first_name": "MARIAM",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A03119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAM",
            "last_name": "JALLOH",
            "credential": "COTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Jaime-Luna
• Agnes Jalloh
• Amadu Jalloh
• Hussainatu Jalloh
• Maladoh Jalloh
• Mohamed Jalloh
• Rugiatu Jalloh
• Awa Jallow
• Jam Healthcare LLC
• Jam Healthcare Therapies LLC

• Occupational Therapy Assistant in Lanham, MD
• Providers in Lanham, MD by specialty
• Occupational Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.