Individual provider Active NPI

Mallory Payne, OTR/L, ATC

  • Occupational Therapist
  • Opelika, AL
National Provider Identifier
1093098899
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3257 Issued in AL
Practice address
2450 Village Professional Dr N
Opelika, AL 36801-4734
Phone
(334) 528-1964
Fax
(334) 742-9352
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3257 AL Primary

Addresses

Primary practice location

2450 Village Professional Dr N
Opelika, AL 36801-4734

Mailing address

2450 Village Professional Dr N
Opelika, AL 36801-4734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130131000348 AL Practitioner - Occupational Therapist in Private Practice 9234383183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Alabama School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabworks LLCGroup PAC ID 3375975204, 15 clinicians

Practice addresses (Care Compare)

2450 Village Professional Dr N
Opelika, AL 36801-4734
Phone (334) 528-1964

Merit-based Incentive Payment System (MIPS)

Final score
94.14 of 100Reported as group
Improvement activities
40
Cost
88.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Clinic, P.C. Occupational Therapist CurrentSince Jan 1, 2013 Accepting new patients
Rehabworks LLC CurrentSince Feb 1, 2024 Accepting new patients
The Orthopaedic Clinic P.C. CurrentSince Jan 1, 2013 Accepting new patients

Locations

121 N 20th St
Ste 18
Opelika, AL 36801
Phone (334) 749-8303

2450 Village Professional Dr N
Opelika, AL 36801
Phone (334) 528-1964

2000 Pepperell Pkwy
#5
Opelika, AL 36801
Phone (334) 528-3830

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1093098899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 VILLAGE PROFESSIONAL DR N",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 VILLAGE PROFESSIONAL DR N",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014734",
            "telephone_number": "334-528-1964",
            "fax_number": "334-742-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MALLORY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.