Mallory L Fries

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

46003498A Issued in IN

Practice address

9426 Lima Rd Ste a
Fort Wayne, IN 46818-8681

Phone

(260) 497-0328

NPI assigned

Nov 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hand in Hand Comprehensive Therapy Specialists Inc

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1942465679

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1669940235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 THORNWILLOW CT",
            "city": "HUNTERTOWN",
            "state": "IN",
            "postal_code": "467489384",
            "telephone_number": "260-415-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9426 LIMA RD STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188681",
            "telephone_number": "260-497-0328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1017 Thornwillow Ct",
            "address_purpose": "LOCATION",
            "city": "Huntertown",
            "state": "IN",
            "postal_code": "467489384",
            "country_code": "US",
            "telephone_number": "260-415-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIES",
        "first_name": "MALLORY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46003498A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark H Friedrich, DDS
• Lauren Friel, BCBA
• Kathleen M Friend, PT
• Megan D Friend
• Rhonda Karen Friend
• Audrey Fritcha
• Aidan Fritsch
• Sierra Froehlich, MD
• Frontline Alchemy Care, LLC
• Lauryn Frump

• Speech-Language Pathologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.