Active NPI
Mallory Thompson
- Occupational Therapy Assistant
- Tremont, PA
National Provider Identifier
1386073526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP007220
- Practice address
- 44 Donaldson Rd
Tremont, PA 17981-1424 - Phone
- (570) 695-3439
- Fax
- (570) 695-2264
- NPI assigned
- Nov 8, 2013
- 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 Therapy Assistant | 224Z00000X | OP007220 | PA | Primary |
Addresses
Primary practice location
44 Donaldson Rd
Tremont, PA 17981-1424
Mailing address
116 E Center St
Donaldson, PA 17981-1206
Phone (570) 640-1010
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 |
|---|---|---|---|
| OP007220 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1386073526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 E CENTER ST",
"city": "DONALDSON",
"state": "PA",
"postal_code": "179811206",
"telephone_number": "570-640-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 DONALDSON RD",
"city": "TREMONT",
"state": "PA",
"postal_code": "179811424",
"telephone_number": "570-695-3439",
"fax_number": "570-695-2264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MALLORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP007220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tremont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.