Malia Lynn Patterson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4941-26 Issued in WI

Practice address

2600 Rib Mountain Dr
Suite 220
Wausau, WI 54401-7196

Phone

(715) 843-5300

Fax

(715) 843-5329

NPI assigned

Oct 8, 2010

Last updated

Oct 8, 2010By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physiotherapy Associates Inc

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Wausau, WI
  • NPI 1225198427
  NPD (past)
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1548570518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 N 4TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012611",
            "telephone_number": "608-217-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 RIB MOUNTAIN DR",
            "address_2": "SUITE 220",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017196",
            "telephone_number": "715-843-5300",
            "fax_number": "715-843-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MALIA",
        "middle_name": "LYNN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4941-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Ryan Parker, MD
• Joseph Abraham Parks, DO
• Vernon C. Parmley, M.D.
• Tara Lynn Pasholk II, ABA CERTIFIED
• Ashish R Patel, D.O.
• Shanna L Paul, M.D.
• Heather Paulson
• Johanna Laureen Paulson
• Daniel J Paulus, PHD
• Sara Pavelski

• Occupational Therapist in Wausau, WI
• Providers in Wausau, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.