JENNIFER MALLAS (NPI# 1497133151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497133151 |
| Entity Type | Individual |
| Full Name | JENNIFER MALLAS |
| Credential | OTR |
| Practice Address |
1350 S Sunny Slope Rd Brookfield WI 53005-7060 |
| Practice Telephone | 4148059600 |
| Practice Fax Number | 4148059645 |
| Mailing Telephone | 4148059600 |
| Mailing Fax Number | 4148059645 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0756 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1350 S SUNNY SLOPE RD |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-7060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376537548 | Michaela M Unrein | Nurse Practitioner | 1350 S Sunny Slope Rd, Sunnyslope Primary Care Clinic, Brookfield, WI 53005-7060 | 2005-09-02 |
| 1962937532 | Anjali Best | Family Medicine | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2017-04-20 |
| 1194262139 | Meagan Alonge | Nurse Practitioner | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2017-01-29 |
| 1457739385 | Lynette Terhune | Physical Therapist | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2015-05-12 |
| 1336527357 | Traci Pavletich | Occupational Therapist | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2015-05-11 |
| 1093192189 | Sarah Meuler | Physical Therapist | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2015-04-28 |
| 1639566995 | Kathy Kremer | Physical Therapist | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2015-04-23 |
| 1255609178 | Rolonda Palmer | Registered Nurse | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2011-12-06 |
| 1467625178 | Kris Rudy Vanderkooy | Internal Medicine | 1350 S Sunny Slope Rd, Sunnyslope Primary Care Clinic, Brookfield, WI 53005-7060 | 2008-04-02 |
| 1235357138 | Lakshmi Hima Bindu Kurre | Family Medicine | 1350 S Sunny Slope Rd, Brookfield, WI 53005-7060 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695158 | Christine Baumann | Occupational Therapist | 9421 Burlington Ave Apt 1n, Brookfield, IL 60513-1868 | 2020-09-29 |
| 1205451663 | Restore Mobile Therapy LLC | Occupational Therapist | 6 Logging Trail Ln, Brookfield, CT 06804-1345 | 2020-06-11 |
| 1639790595 | Diana Westin | Occupational Therapist | 13 Windwood Rd, Brookfield, CT 06804-3235 | 2020-05-01 |
| 1801396080 | Alicia Collazo | Occupational Therapist | 14 Lakeview Rd, Brookfield, CT 06804-1510 | 2018-02-14 |
| 1609249234 | Brian Wevers | Occupational Therapist | 18425 Emerald Dr Unit B, Brookfield, WI 53045-0606 | 2015-11-04 |
| 1821475955 | Elisa Smith | Occupational Therapist | 14510 Santa Rosa Dr, Brookfield, WI 53005-4121 | 2015-04-27 |
| 1831591874 | Yolande Guastadisegni | Occupational Therapist | 20 Woodview Dr, Brookfield, CT 06804-1924 | 2014-09-22 |
| 1710312541 | Shirley Celestin | Occupational Therapist | 6 Tommys Ln, Brookfield, CT 06804-1616 | 2013-09-11 |
| 1881939544 | Penny Lynn Pearsall | Occupational Therapist | 36 Stony Hill Vlg, Brookfield, CT 06804-3933 | 2012-12-06 |
| 1376892752 | Cheryl Ann O'connell | Occupational Therapist | 13345 W Burleigh Rd, Apartment 4, Brookfield, WI 53005-3071 | 2012-08-31 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.