Mallory Ann Smith, OT

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

5493 Issued in OK

Practice address

1809 E 13TH St Ste 101
Tulsa, OK 74104-4419

Phone

(918) 579-7100

Fax

(918) 579-7110

NPI assigned

Feb 11, 2026

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

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": "1770768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1588516751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741144853",
            "telephone_number": "918-441-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 E 13TH ST STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044419",
            "telephone_number": "918-579-7100",
            "fax_number": "918-579-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MALLORY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "OK",
            "license": "5493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ellen Smith
• Lloyd Nathan Smith
• Logan McKay Smith, DPT
• Mackenzie L Smith, PT, DPT, OCS
• Madison Paige Smith I
• Marco M Smith Sr.
• Mario Keenan Smith
• Marsha Smith
• Mary Jane Smith, CRNP
• Matthew Smith

• Physical Rehabilitation Occupational Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Rehabilitation Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.