MRS. SHANTI MALLADI (OTR) – Occupational Therapist, NPI 1386709301

MRS. SHANTI MALLADI (OTR) is a healthcare provider. based in Fremont, California. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 1584 (CA). The NPI Number for MRS. SHANTI MALLADI (OTR) is 1386709301

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHANTI MALLADI (OTR)
NPI
1386709301
Phone
(510) 432-0114
Address
194 FREEDOM CT
Enumeration Date
27 December 2006
Last Update Date
24 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2097355000
Graduation Year
1998 (28 years ago)
PAC ID
4880906205
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20150626001571
Address ID
CA953569718MO4601XRDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,224 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for MRS. SHANTI MALLADI (OTR)

  • 194, Freedom Court, Mission San Jose District, Fremont, Alameda County, California, 94539, United States

    FREMONT, CA 945396267

    Phone: (510) 432-0114

    Fax: (510) 651-8485

    Type: Mailing

  • 200;250, Brown Road, Warm Springs District, Fremont, Alameda County, California, 94539, United States

    204

    FREMONT, CA 945397955

    Phone: (510) 432-0114

    Fax: (510) 651-8485

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150626001571IOccupational Therapist In Private PracticeCATBD
I20260123001072IOccupational Therapist In Private PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94539)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What identifier follows MRS. SHANTI MALLADI (OTR) across health systems?
The NPI 1386709301 uniquely identifies MRS. SHANTI MALLADI (OTR) in U.S. healthcare data.
Is MRS. SHANTI MALLADI (OTR) currently accepting referrals based on NPI status?
Registry metadata lists MRS. SHANTI MALLADI (OTR) as active.
What does the directory say MRS. SHANTI MALLADI (OTR) does?
Insurance directories may phrase it differently, but here MRS. SHANTI MALLADI (OTR) maps to Occupational Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. SHANTI MALLADI (OTR) in Fremont, California?
For routing, start with Fremont, California for MRS. SHANTI MALLADI (OTR), then verify phone and hours locally.
Can I export MRS. SHANTI MALLADI (OTR)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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