Active NPI
Mallory Rose Toms, OT
- Occupational Therapist
- Flower Mound, TX
National Provider Identifier
1588329734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 121978
- Practice address
- 3281 Long Prairie Rd
Flower Mound, TX 75022-2707 - Phone
- (877) 787-3422
- NPI assigned
- Nov 2, 2021
- 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 | 121978 | TX | Primary |
Addresses
Primary practice location
3281 Long Prairie Rd
Flower Mound, TX 75022-2707
Mailing address
3601 Grapevine Mills Pkwy Apt 1611
Grapevine, TX 76051-1969
Phone (509) 954-8142
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 |
|---|---|---|---|
| 121978 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1588329734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 GRAPEVINE MILLS PKWY APT 1611",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760511969",
"telephone_number": "509-954-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3281 LONG PRAIRIE RD",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750222707",
"telephone_number": "877-787-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMS",
"first_name": "MALLORY",
"middle_name": "ROSE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "121978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.