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

Mallory Noel Maclellan, MS, OTR/L

Individual provider Occupational Therapist · NPI 1174343925

Mallory Noel Maclellan, MS, OTR/L is a Physical Therapist in Private Practice in Frederick, Maryland. Qualified in 2024, 2 years ago. Practices with Therafit Enterprises Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

4640 Wedgewood Blvd Ste 101-105
Frederick, MD 21703-7114
Phone: (240) 457-9558
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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 10386 (MD)

Record details

NPI number1174343925
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Therafit Enterprises Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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