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

Individual provider Occupational Therapist · NPI 1386709301

Mrs. Shanti Malladi, OTR is an Occupational Therapist in Private Practice in Fremont, California. Qualified in 1998, 28 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2006
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

200 Brown Rd 204
Fremont, CA 94539-7955
Phone: (510) 432-0114
Fax: (510) 651-8485
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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 1584 (CA)

Record details

NPI number1386709301
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedDecember 27, 2006
Last updated in NPPESOctober 24, 2021
Certification dateOctober 24, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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