Active NPI
Grace Olivia Privette Malamala
- Occupational Therapy Assistant
- Newport News, VA
National Provider Identifier
1437995784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0131002527
- Practice address
- 13030 Warwick Blvd
Newport News, VA 23602-8374 - Phone
- (757) 746-4843
- NPI assigned
- Jul 6, 2024
- Last updated
- Mar 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 0131002527 | VA | Primary |
Addresses
Primary practice location
13030 Warwick Blvd
Newport News, VA 23602-8374
Mailing address
13030 Warwick Blvd
Newport News, VA 23602-8374
Phone (757) 746-4843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0131002527 | VA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742083200000",
"number": "1437995784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13030 WARWICK BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236028374",
"telephone_number": "757-746-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13030 WARWICK BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236028374",
"telephone_number": "757-746-4843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIVETTE MALAMALA",
"first_name": "GRACE",
"middle_name": "OLIVIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-06",
"last_updated": "2025-03-16",
"certification_date": "2025-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VA",
"license": "0131002527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Progressive ABA, Inc.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.