Individual provider Active NPI

Meredith Malcom

  • Occupational Therapist
  • Denton, TX
National Provider Identifier
1639041395
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2318 San Jacinto Blvd Ste 108
Denton, TX 76205-7535
Phone
(940) 202-0281
NPI assigned
Sep 22, 2025
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 Primary

Addresses

Primary practice location

2318 San Jacinto Blvd Ste 108
Denton, TX 76205-7535

Mailing address

201 Southpeak LN
Ponder, TX 76259-6016

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010001072 TX Practitioner - Occupational Therapist in Private Practice 6608373089 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 Southpeak LN
Ponder, TX 76259-6016

7220 Hidden Meadow LN
Harrisburg, PA 17112-8720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
D&D Sports Med Sanger, LLC CurrentSince Sep 4, 2025 Accepting new patients
Sports Med Denton LLC Occupational Therapist CurrentSince Sep 4, 2025 Accepting new patients
D&D Sports Med Aubrey, LLC CurrentSince Sep 4, 2025 Accepting new patients

Locations

510 W Main St
#B
Canfield, OH 44406
Phone (330) 301-4762

26875 US Highway 380 E
Ste 124
Aubrey, TX 76227
Phone (972) 347-6000

2318 San Jacinto Blvd
Ste 108
Denton, TX 76205
Phone (940) 202-0281

1650 W Chapman Dr
Ste 400
Sanger, TX 76266
Phone (940) 458-2611

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": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1639041395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SOUTHPEAK LN",
            "city": "PONDER",
            "state": "TX",
            "postal_code": "762596016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 SAN JACINTO BLVD STE 108",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057535",
            "telephone_number": "940-202-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOM",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.