Individual provider Active NPI

Jamie Marie Mallek, MSOT OTR/L

  • Occupational Therapist
  • Homer Glen, IL
National Provider Identifier
1669149407
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.014334 Issued in IL
Practice address
14222 S Bell Rd
Homer Glen, IL 60491-8122
Phone
(708) 834-2829
NPI assigned
Aug 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.014334 IL Primary

Addresses

Primary practice location

14222 S Bell Rd
Homer Glen, IL 60491-8122

Mailing address

13050 Meadowlark CT
Homer Glen, IL 60491-9055
Phone (708) 351-6264

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

LicenseStateTypeSpecialty
056.014334ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Childrens Therapy Occupational Therapist Past Accepting new patients
Step Forward Therapy, LTD Occupational Therapist PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1630195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1669149407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13050 MEADOWLARK CT",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919055",
            "telephone_number": "708-351-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14222 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918122",
            "telephone_number": "708-834-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEK",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "credential": "MSOT OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-29",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.014334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.