Mark Malyn, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119001055 Issued in VA

Practice address

2005 Candlewyck Dr
Charlottesville, VA 22901-9426

Phone

(434) 979-0987

NPI assigned

Aug 5, 2009

Sex

Male

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

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1720219082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 CANDLEWYCK DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229019426",
            "telephone_number": "434-979-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CANDLEWYCK DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229019426",
            "telephone_number": "434-979-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALYN",
        "first_name": "MARK",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119001055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Mallory, MD
• Stephanie Mallow Corbett, PHARMD, MBA, FCCM
• Jillian Malo
• William Maloney, MD
• Jessica Keim Malpass
• Louise M Man, M.D.
• Victor J Mandanas, MD
• Elizabeth H. Mandell, MD
• James W. Mandell
• Claire Amelia Manderfield, ED.S.

• Occupational Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.