Shombai L Malone, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9487 Issued in NC

Practice address

877 Hill Everhart Rd
Lexington, NC 27295-9140

Phone

(336) 248-6644

NPI assigned

Aug 17, 2009

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1518199017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 BROWNESTONE VIEW DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697198",
            "telephone_number": "908-294-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 HILL EVERHART RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272959140",
            "telephone_number": "336-248-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "SHOMBAI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00387600",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "9487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Andrew Mahan, D.C.
• Robert G Mahan, MD
• Prerna Maharjan, FNP-BC
• Caitlin Grace Mahoney, MD
• Helen Jean Macmillan Malone, MD
• Aaron Mandzak
• Mansi Shah DMD PC
• Marc F. Fedder, MD, PA
• Marigold Behavioral Health, PLLC.
• Mark R Cowan DMD PA

• Occupational Therapist in Lexington, NC
• Providers in Lexington, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.