Active NPI
Blair Mallory, OTR
- Occupational Therapist
- North Chesterfield, VA
National Provider Identifier
1093396590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119009016
- Practice address
- 9325 Midlothian Tpke Ste a
North Chesterfield, VA 23235-4943 - Phone
- (757) 490-3223
- Fax
- (757) 490-3223
- NPI assigned
- Apr 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119009016 | VA | Primary |
Addresses
Primary practice location
9325 Midlothian Tpke Ste a
North Chesterfield, VA 23235-4943
Mailing address
4560 South Blvd Ste 310
Virginia Beach, VA 23452-1160
Phone (757) 490-3223
Other practice location 1
4560 South Blvd Ste 310
Virginia Beach, VA 23452-1160
Phone (757) 490-3223
Other names 1
- Blair Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119009016 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Physical Therapist
- Virginia Beach, VA
- NPI 1205860764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1093396590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SOUTH BLVD STE 310",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521160",
"telephone_number": "757-490-3223",
"fax_number": "757-490-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9325 MIDLOTHIAN TPKE STE A",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354943",
"telephone_number": "757-490-3223",
"fax_number": "757-490-3223"
}
],
"practiceLocations": [
{
"address_1": "4560 South Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234521160",
"country_code": "US",
"telephone_number": "757-490-3223",
"fax_number": "757-490-2936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLORY",
"first_name": "BLAIR",
"name_prefix": "Miss",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-16",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119009016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BLAIR",
"last_name": "JONES",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.