Madora Dorie Mason Pearson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

107168 Issued in TX

Practice address

4824 McKnight Rd
Texarkana, TX 75503-0935

Phone

(903) 793-6135

Fax

(903) 793-0053

NPI assigned

Sep 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pearson Pediatric OT Services

  dba Texarkana Therapy Center

  • Pediatrics Physician
  • Texarkana, TX
  • NPI 1629356027

  Physical Therapist

  Medicare reassignment NPD
• Temple Memorial Pediatric Center Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Texarkana, TX
  • NPI 1972654663
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1174620850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 MCKNIGHT RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030935",
            "telephone_number": "903-793-6135",
            "fax_number": "903-793-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 MCKNIGHT RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030935",
            "telephone_number": "903-793-6135",
            "fax_number": "903-793-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MADORA DORIE",
        "middle_name": "MASON",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "107168",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "107168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "046679",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA AMERICAN SPECIALTY HEALTH",
            "identifier": "1257421",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122049721",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004487703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "871T52",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004487701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004487704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T6174",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Jackson Payne, MD
• Sarah Charmaine Payne, D.D.S.
• Eva Corinne Peacock
• Carol Ann Pearcy, SLP
• Pearson Pediatric OT Services (Texarkana Therapy Center)
• Michael Reynolds Pearson, DDS
• Pediatric Dentistry of Texarkana PLLC (Pediatric Dentistry of Texarkana)
• Elizabeth Penick, LPC, NCC, CCTP
• Heather Pennington, RNFA
• Helen Elizabeth Pennington, RPH

• Occupational Therapist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.