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

Individual provider Occupational Therapist · NPI 1427791656

Mikayla Mallon is an Occupational Therapist in Private Practice in Bridgewater, New Jersey. Qualified in 2021, 5 years ago. Practices with Performance Medical Group of Branchburg LLC, a 26-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

270 Route 28
Bridgewater, NJ 08807-1919
Phone: (908) 722-7022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (NJ)

Record details

NPI number1427791656
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address270 Route 28, Bridgewater, NJ 08807-1919

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Performance Medical Group Of Branchburg Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bridgewater