Individual provider Active NPI

Mallory Griggs, OTR/L

  • Occupational Therapist
  • Laredo, TX
National Provider Identifier
1528300449
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
115376 Issued in TX
Practice address
2335 E Saunders St
Plaza 3
Laredo, TX 78041-5434
Phone
(956) 791-4800
NPI assigned
Mar 18, 2013
Last updated
Aug 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 115376 TX Primary

Addresses

Primary practice location

2335 E Saunders St
Plaza 3
Laredo, TX 78041-5434

Mailing address

3206 Tail Spin Dr
Colorado Springs, CO 80916-5710
Phone (719) 243-3102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329001220 CO Practitioner - Occupational Therapist in Private Practice 6800260019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115376TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Katey Blehm M.a. CCC-SLP Occupational Therapist CurrentSince Mar 14, 2023 Accepting new patients
Katey Blehm M.a. CCC-SLP Occupational Therapist CurrentSince Mar 14, 2023 Accepting new patients
Mercy Rehab Services Inc. Past Accepting new patients

Locations

2776 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 332-4689

2776 Janitell Rd
Ofc
Colorado Springs, CO 80906
Phone (719) 332-4689

6965 Tutt Blvd
Ste 100A
Colorado Springs, CO 80923
Phone (719) 332-4689

8415 Explorer Dr
Ste 150
Colorado Springs, CO 80920
Phone (719) 332-4689

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1528300449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 TAIL SPIN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809165710",
            "telephone_number": "719-243-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 E SAUNDERS ST",
            "address_2": "PLAZA 3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415434",
            "telephone_number": "956-791-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "MALLORY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.