Joanne Malysa, OT

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

46TR01063200 Issued in NJ

Practice address

1211 Hamburg Tpke Ste 306
Wayne, NJ 07470-5056

Phone

(973) 706-8270

Fax

(973) 706-8270

NPI assigned

Sep 18, 2017

Last updated

Jun 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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.

• Allies in Hand Therapy, LLC

  • Occupational Therapist
  • Wayne, NJ
  • NPI 1336464106

  Physical Rehabilitation

  NPD (past)

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1598284853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SARGEANT AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HAMBURG TPKE STE 306",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705056",
            "telephone_number": "973-706-8270",
            "fax_number": "973-706-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALYSA",
        "first_name": "JOANNE",
        "name_prefix": "Miss",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NJ",
            "license": "46TR01063200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mailly Consulting Inc
• Kenneth Howard Mailly, P.T.
• Frank Vincent Maldonado, DDS
• Wilson Maldonado, D.M.D
• Mark E Maletsky, MD
• Andrei M Manalang, PT
• Nicholas Joseph Mangone Jr., PT, DPT
• Julia Maniaci, RDN
• Nicole Rose Maniaci I
• Marcia Laky PHD (Marcia Laky PhD Counseling Center)

• Physical Rehabilitation Occupational Therapist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Physical Rehabilitation Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.