Individual provider Active NPI

Mallory Renee Pleiman, OTR/L

  • Occupational Therapist
  • Worthington, OH
National Provider Identifier
1851728562
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.008273 Issued in OH
Practice address
965 High St
Worthington, OH 43085-4057
Phone
(614) 784-0400
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X OT.008273 OH Primary

Addresses

Primary practice location

965 High St
Worthington, OH 43085-4057

Mailing address

375 Sioux St
Fort Loramie, OH 45845-9315
Phone (937) 726-7186

Other practice location 1

375 Sioux St
Fort Loramie, OH 45845-9315
Phone (937) 726-7186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930001697 OH Practitioner - Occupational Therapist in Private Practice 0345771598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outpatient at Home LLCGroup PAC ID 6204248784, 38 clinicians

Practice addresses (Care Compare)

965 High St
Worthington, OH 43085-4065
Phone (614) 784-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.008273OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Aug 27, 2024 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Aug 27, 2024 Accepting new patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients
Outpatient at Home LLC CurrentSince Mar 17, 2025 Accepting new patients
Columbus Physical Therapy, LLC PastSince Mar 17, 2025 Accepting new patients

Locations

965 High St
Worthington, OH 43085
Phone (614) 327-2362

Organizations & group practices 5

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": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1851728562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 SIOUX ST",
            "city": "FORT LORAMIE",
            "state": "OH",
            "postal_code": "458459315",
            "telephone_number": "937-726-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854057",
            "telephone_number": "614-784-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Sioux St",
            "address_purpose": "LOCATION",
            "city": "Fort Loramie",
            "state": "OH",
            "postal_code": "458459315",
            "country_code": "US",
            "telephone_number": "937-726-7186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLEIMAN",
        "first_name": "MALLORY",
        "middle_name": "RENEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT.008273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.