Active NPI
Mallori Cline, OTR/L
- Occupational Therapist
- Kennett, MO
National Provider Identifier
1255876975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2020014757
- Practice address
- 1711 Ely St
Kennett, MO 63857-1312 - Phone
- (573) 717-0091
- NPI assigned
- Jan 4, 2017
- 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 | 2020014757 | MO | Primary |
Addresses
Primary practice location
1711 Ely St
Kennett, MO 63857-1312
Mailing address
1711 Ely St
Kennett, MO 63857-1312
Other names 1
- Mallori 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 |
|---|---|---|---|
| 2020014757 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NHC Healthcare-Kennett LLC | 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.
-
- Skilled Nursing Facility
- Kennett, MO
- NPI 1740228204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1255876975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 ELY ST",
"city": "KENNETT",
"state": "MO",
"postal_code": "638571312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 ELY ST",
"city": "KENNETT",
"state": "MO",
"postal_code": "638571312",
"telephone_number": "573-717-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "MALLORI",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-04",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2020014757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALLORI",
"last_name": "JONES",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.