Active NPI
Mallory Polito
- Occupational Therapist
- Grantsville, MD
National Provider Identifier
1982163077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 08608
- Practice address
- 891 Dorsey Hotel Rd
Grantsville, MD 21536-1369 - Phone
- (301) 895-5194
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 08608 | MD | Primary |
Addresses
Primary practice location
891 Dorsey Hotel Rd
Grantsville, MD 21536-1369
Mailing address
189 Dinner Bell Ohiopyle Rd
Farmington, PA 15437-1372
Other practice location 1
706 E Alder St
Oakland, MD 21550-3554
Phone (301) 334-2319
Other practice location 2
251 N 4th St
Oakland, MD 21550-1375
Phone (301) 533-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08608 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1982163077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 DINNER BELL OHIOPYLE RD",
"city": "FARMINGTON",
"state": "PA",
"postal_code": "154371372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "891 DORSEY HOTEL RD",
"city": "GRANTSVILLE",
"state": "MD",
"postal_code": "215361369",
"telephone_number": "301-895-5194"
}
],
"practiceLocations": [
{
"address_1": "706 E Alder St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "MD",
"postal_code": "215503554",
"country_code": "US",
"telephone_number": "301-334-2319",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "251 N 4th St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "MD",
"postal_code": "215501375",
"country_code": "US",
"telephone_number": "301-533-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLITO",
"first_name": "MALLORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grantsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.