Stephanie Dawn Mallam, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1280 Issued in OK

Practice address

3017 N Stiles Ave # 200
Oklahoma City, OK 73105-2811

Phone

(405) 795-8591

NPI assigned

Jun 24, 2013

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

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Ou Health Partners, Inc

  dba Ou Health Partners

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1528642642
  Medicare reassignment NPD
• Ou Health Partners, Inc

  dba OUHP Orthotics & Prosthetic

  • Prosthetic/Orthotic Supplier
  • Oklahoma City, OK
  • NPI 1447834460
  NPD

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1811336829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NORMAN RD",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731227351",
            "telephone_number": "405-401-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 N STILES AVE # 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731052811",
            "telephone_number": "405-795-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAM",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "1280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akemi D Malgonkar, THERAPIST
• Destani Shyne Malicoat
• Marygrace Thomas Maliel, PHARM D
• Michael G Maline, D.O
• Shannon J Mallam
• Jordan Mallard
• Ngozi Mallory
• Susan Morton Malloy
• Averie Jayne Mallozzi, MD
• Angel Marie Malone

• Occupational Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.