Erin Elizabeth Mallekoote, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009985 Issued in MI

Practice address

1420 Plaza Dr
Petoskey, MI 49770-9420

Phone

(231) 347-7890

NPI assigned

Oct 9, 2023

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)

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 and National Provider Directory roles.

• North Country Community Mental Health

  • Community/Behavioral Health Agency
  • Petoskey, MI
  • NPI 1881060549
  NPD (past)

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1811778699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 PLAZA DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 PLAZA DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709420",
            "telephone_number": "231-347-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEKOOTE",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Magrum, MA, CAADC-D
• Mallory Hallett Mahoney, ND, RAC
• Aubrey Jo Major
• Mark Thomas Makela, D.D.S
• Megan Makela
• Susan Joy-Schlater Malone, D.D.S., P.C.
• Patrick M Maloney, MD
• Melanie S Manary, M.D.
• Robert M Mandell, D.O.
• Salvatore A Manno, PA-C

• Occupational Therapist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.