Active NPI
Mallory Trumbull, OTR
- Occupational Therapist
- Sioux Falls, SD
National Provider Identifier
1629836259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 508757
- Practice address
- 1305 W 18TH St
Sioux Falls, SD 57105-0401 - Phone
- (605) 333-1000
- NPI assigned
- Mar 8, 2024
- 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 | 508757 | Primary |
Addresses
Primary practice location
1305 W 18TH St
Sioux Falls, SD 57105-0401
Mailing address
7525 W Stoney Creek St
Sioux Falls, SD 57106-7770
Phone (218) 639-7546
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1629836259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 W STONEY CREEK ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571067770",
"telephone_number": "218-639-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 W 18TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050401",
"telephone_number": "605-333-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMBULL",
"first_name": "MALLORY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "508757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
- Renae Trudaeu
- True Health Chiropractic & Wellness
- True North Physical Therapy LLC (True North Physical Therapy)
- Terry William Truex, ATC, RN
- Cruz Trujillo Rodriguez, MS, LPC, NCC
- Virginia K Trumbull, RD
- Cam Thi Hong Truong
- Kenny Hoang Truong, ABO, NCLE
- Trust Fall Counseling LLC
- Aaron J Trygstad, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.