Individual provider Active NPI

Amber Mallonee, MS, OTR/L

  • Occupational Therapist
  • Blue Bell, PA
National Provider Identifier
1114441185
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC009054 Issued in PA
Practice address
1777 Sentry Pkwy W Ste 203
Blue Bell, PA 19422-2227
Phone
(610) 227-1100
Fax
(215) 646-1900
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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 OC009054 PA Primary

Addresses

Primary practice location

1777 Sentry Pkwy W Ste 203
Blue Bell, PA 19422-2227

Mailing address

4370 Fleming St
Philadelphia, PA 19128-4826
Phone (610) 506-4997

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC009054PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayada Home Health Care, 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.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1114441185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 FLEMING ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284826",
            "telephone_number": "610-506-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 SENTRY PKWY W STE 203",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222227",
            "telephone_number": "610-227-1100",
            "fax_number": "215-646-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLONEE",
        "first_name": "AMBER",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.