Malorie Paige Jordan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

106386 Issued in MN

Practice address

14387 Edgewood Dr
Baxter, MN 56425-8460

Phone

(218) 454-5181

NPI assigned

Aug 6, 2020

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autism Matters, Inc.

  dba Bertone Speech, Language & Communication Services

  • Speech-Language Pathologist
  • Plymouth, MN
  • NPI 1649469289
  NPD

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1205446994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14387 EDGEWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258460",
            "telephone_number": "218-454-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14387 EDGEWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258460",
            "telephone_number": "218-454-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MALORIE",
        "middle_name": "PAIGE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106386",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tierney Johnson
• Wendy Lou Johnson
• Courtney Jones
• Shelly Jones
• Kaydince Monquet Jordan
• Jesse Arlo Jorges
• Melinda Sue Juaire
• Tom Juberian, DPT
• Hannah Judovsky
• Morgen Joray Juel, PH.D., LP

• Occupational Therapist in Baxter, MN
• Providers in Baxter, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.