Active NPI
Mallory Deming
- Occupational Therapy Assistant
- Milwaukee, WI
National Provider Identifier
1407764160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 7358
- Practice address
- 9301 N 76TH St
Milwaukee, WI 53223-1074 - Phone
- (414) 355-9300
- NPI assigned
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 7358 | WI | Primary |
Addresses
Primary practice location
9301 N 76TH St
Milwaukee, WI 53223-1074
Mailing address
N143W6487 Layton St Apt 2
Cedarburg, WI 53012-3010
Phone (217) 242-9622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1407764160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N143W6487 LAYTON ST APT 2",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530123010",
"telephone_number": "217-242-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 N 76TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532231074",
"telephone_number": "414-355-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMING",
"first_name": "MALLORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "7358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.