Mallory Massey Ortiz, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3205 Jenny Lind Rd
Fort Smith, AR 72901-7101

Phone

(479) 709-6092

NPI assigned

Sep 12, 2017

Last updated

Aug 9, 2023By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Brazosport Isd

  • Local Education Agency (LEA)
  • Clute, TX
  • NPI 1518089556
  NPD (past)
• Eastern New Mexico University

  dba ENMU Speech Hearing Outreach Rehabilitation Center

  • Speech-Language Pathologist
  • Portales, NM
  • NPI 1356115273
  NPD (past)

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1316466303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18565 KOCUREK RD",
            "city": "GUY",
            "state": "TX",
            "postal_code": "774449501",
            "telephone_number": "979-864-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017101",
            "telephone_number": "479-709-6092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W Brazoswood Dr",
            "address_purpose": "LOCATION",
            "city": "Clute",
            "state": "TX",
            "postal_code": "775313520",
            "country_code": "US",
            "telephone_number": "979-730-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S. Ave k",
            "address_2": "station 3, SHROC",
            "address_purpose": "LOCATION",
            "city": "Portales",
            "state": "NM",
            "postal_code": "88130",
            "country_code": "US",
            "telephone_number": "575-562-4232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MALLORY",
        "middle_name": "MASSEY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518089556",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Orosco
• Beatriz Orozco, LAC
• Orthopaedics PA (River Valley Musculoskeletal Center)
• Orthopaedics, P.a. (River Valley Prosthetics & Orthotics)
• Orthopaedics, PA
• Brendian Ozzie James Osborn, RN
• Devron Lee Kelley Osborne, D. O.
• Martha Osbun, P.T.
• Adetola Fatimah Oshikoya, M.D.
• Alan Leo Osowski, D.C.

• Speech-Language Pathologist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.