Nisha Mali, OCCUPATIONAL THERAP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2019022298 Issued in MO

Practice address

352 Watford Dr Apt Watford
Ballwin, MO 63011-5022

Phone

(314) 662-7538

NPI assigned

Jan 18, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Georgia, LLCGroup PAC ID 4284063835, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empowerme Rehabilitation Georgia, LLC

  • Multi-Specialty Clinic/Center
  • Cumming, GA
  • NPI 1952934374
  Medicare reassignment Care Compare group NPD
• The Weston Group Inc.

  • Physical Therapist
  • Acworth, GA
  • NPI 1841309101

  Multi-Specialty

  Medicare reassignment NPD
• The Weston Group Inc.

  • Physical Therapist
  • Easton, PA
  • NPI 1750250759

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1770113755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 WATFORD DR APT A",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630115022",
            "telephone_number": "314-662-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 WATFORD DR APT WATFORD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630115022",
            "telephone_number": "314-662-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALI",
        "first_name": "NISHA",
        "credential": "OCCUPATIONAL THERAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2019022298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "2019022298",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Maas, M.ED., BCBA, LBA
• Kristi R Machica, LPC, RPT-S
• Brian L. Mahaffey, MD
• Jodi Main
• Mary Elizabeth Malen, N.P.
• Afshan Malik, LPC
• Nomana Malik
• Shannon Malon
• Manan Hearing LLC
• Manchester Eye Care, LLC

• Occupational Therapist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.