Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Maceyak-Beazley

Individual provider Occupational Therapist · NPI 1558769208

Mallory Maceyak-Beazley is an Occupational Therapist in Private Practice in Nashville, Tennessee. Qualified in 2012, 14 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2014
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Practice location Address checks out

504 Elmington Ave
Nashville, TN 37205-2508
Phone: (615) 460-1339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5012 (TN)

Record details

NPI number1558769208
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2014
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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