Active NPI
Mallory Regan
- Occupational Therapist
- Denver, CO
National Provider Identifier
1295260669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0004602
- Practice address
- 1010 N Corona St
Apt 203
Denver, CO 80218-2917 - Phone
- (440) 554-1380
- NPI assigned
- Apr 24, 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 | OT.0004602 | CO | Primary |
Addresses
Primary practice location
1010 N Corona St
Apt 203
Denver, CO 80218-2917
Mailing address
1010 N Corona St
Apt 203
Denver, CO 80218-2917
Phone (440) 554-1380
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0004602 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1295260669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N CORONA ST",
"address_2": "APT 203",
"city": "DENVER",
"state": "CO",
"postal_code": "802182917",
"telephone_number": "440-554-1380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N CORONA ST",
"address_2": "APT 203",
"city": "DENVER",
"state": "CO",
"postal_code": "802182917",
"telephone_number": "440-554-1380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "MALLORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0004602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
- Refound Center
- Refuge Therapy Group LLC
- Alexander Ariel Regalado
- Elizabeth Regan, MD
- Jennifer Eileen Regan, LCSW
- Lindsay Regehr
- Regenrx, LLC (RegenRx Regenerative Medicine and Wellness Clinic)
- Regents of Colorado (Addiction Research and Treatment Services (ARTS) Parkside Clinic)
- Regents of the University of Colorado
- Regents of the University of Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.