Mikayla Mallon

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

270 Route 28
Bridgewater, NJ 08807-1919

Phone

(908) 722-7022

NPI assigned

Apr 15, 2022

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Medical Group of Branchburg LLCGroup PAC ID 9234486945, 22 clinicians

Re-Active Physical Therapy LLCGroup PAC ID 2860814019, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Performance Medical Group of Branchburg LLC

  • Physical Medicine & Rehabilitation Physician
  • Branchburg, NJ
  • NPI 1679075642
  Medicare reassignment Care Compare group NPD
• Re-Active Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Somerset, NJ
  • NPI 1396376927
  Medicare reassignment Care Compare group NPD
• Old Bridge Spine & Wellness Center,PA

  • Rehabilitation Chiropractor
  • Matawan, NJ
  • NPI 1487885141
  Medicare reassignment NPD
• Performance Medical Group of Hillsborough LLC

  • Pain Medicine (Anesthesiology) Physician
  • Hillsborough, NJ
  • NPI 1487483095
  Medicare reassignment NPD
• Performance Medical Group of Somerset

  • Physical Medicine & Rehabilitation Physician
  • Somerset, NJ
  • NPI 1780287326
  Medicare reassignment NPD
• Performance Medical of Watchung LLC

  • Physical Medicine & Rehabilitation Physician
  • Watchung, NJ
  • NPI 1518477918
  Medicare reassignment NPD
• Performance Medical Group of Branchburg LLC

  • Physical Medicine & Rehabilitation Physician
  • Somerset, NJ
  • NPI 1336753243
  NPD
• Premier Medical of NJ

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1316724263
  NPD (past)

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1427791656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 ROUTE 28",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 ROUTE 28",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071919",
            "telephone_number": "908-722-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLON",
        "first_name": "MIKAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Major, CPRS
• Tatenda Daphne Makwembere, MS
• Diana Malenkova
• Reema Malhotra
• Maura Malley
• Patricia Anne Maloney, NJCPRS
• Olivia Angela Maltempi, OT
• Anita Mannancheril, M.D.
• Wanda Stella Maragni, LCSW
• Eve Marmel

• Occupational Therapist in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.