Mariah Myrna Lontok Maico, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT10397 Issued in CA

Practice address

3680 Imperial Hwy
3Rd Floor, Suite 350
Lynwood, CA 90262

Phone

(310) 220-6108

NPI assigned

Jan 30, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Manale Rehabilitation Network Inc

  • Physical Rehabilitation Occupational Therapist
  • Bellflower, CA
  • NPI 1639827686
  NPD (past)

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1477316875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W BEVERLY BLVD STE 201",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404265",
            "telephone_number": "562-927-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 IMPERIAL HWY",
            "address_2": "3RD FLOOR, SUITE 350",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-220-6108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7320 Firestone Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902414159",
            "country_code": "US",
            "telephone_number": "562-927-5820 x100",
            "fax_number": "562-684-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAICO",
        "first_name": "MARIAH MYRNA",
        "middle_name": "LONTOK",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT10397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Angel Madrigal
• Janet Magana
• Lorena Magana
• Maged M Faragalla, MD, Inc
• Gina Cindy Mai
• Patricia Makonen
• Kimberly Maldonado
• Michael Y Malik, MD
• Michael Paul Maloney, PH.D.
• Shane Manalang, PHYSICIAN ASSISTANT

• Occupational Therapist in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.