Madonna Marian Malacarne- Cooke, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC00001225 Issued in WA

Practice address

1509 Harrison Ave
Centralia, WA 98531-4568

Phone

(360) 736-0112

NPI assigned

Mar 27, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982722922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E HWY K",
            "address_2": "PO BOX 128",
            "city": "LADDONIA",
            "state": "MO",
            "postal_code": "633520128",
            "telephone_number": "407-529-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 HARRISON AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314568",
            "telephone_number": "360-736-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALACARNE- COOKE",
        "first_name": "MADONNA",
        "middle_name": "MARIAN",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC00001225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison F Macmillan, MD
• Lauren Macneely
• Kristen Ann Mahler, PHARMD
• Sam J Mailhot
• Yasmin Majumder, ARNP
• Ryan Marin, PT, DPT
• Mark E. Joslin
• Amanda R Markva
• Jennifer A Marnik-Scalici, DO
• Angela Marquez

• Occupational Therapy Assistant in Centralia, WA
• Providers in Centralia, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.