Mallory Ann McIntosh, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

020705 Issued in NY

Practice address

5205 Oakwood Dr
North Tonawanda, NY 14120-9618

Phone

(716) 625-4002

NPI assigned

Sep 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Bright Beginnings Therapy Services OT PLLC

  • Early Intervention Provider Agency
  • North Tonawanda, NY
  • NPI 1437436136
  NPD (past)
• Children'S Creative Therapies

  • Early Intervention Provider Agency
  • North Tonawanda, NY
  • NPI 1467690909
  NPD (past)

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1124576384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 OAKWOOD DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209618",
            "telephone_number": "716-625-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 OAKWOOD DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209618",
            "telephone_number": "716-625-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "MALLORY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "020705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob J Maziarz, PHARMACIST
• Gasper Mazzara
• McBride Psychological Services, PLLC
• Isabella Nicole McCumber, PHARMD
• Maureen Patrice McGovern, CPNP
• Andrea Lynn McIntyre, P.T.
• Clare McKeone
• Stacie McNett, OTR
• Carolyn Marie Meaney, PT
• Medican Group LLC

• Pediatric Occupational Therapist in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.