Individual provider Active NPI

Mallory K Pinocchio, OTD, MOT, OTR/L

  • Pediatric Occupational Therapist
  • Reno, NV
National Provider Identifier
1679927727
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
3685 Lakeside Dr
Reno, NV 89509-5280
Phone
(775) 360-3206
Fax
(775) 490-3001
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X NV Primary

Addresses

Primary practice location

3685 Lakeside Dr
Reno, NV 89509-5280

Mailing address

3685 Lakeside Dr
Reno, NV 89509-5280
Phone (775) 360-3206

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Pinocchio Otd Inc., a Professional Corporation Pediatrics PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1679927727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095280",
            "telephone_number": "775-360-3206",
            "fax_number": "775-490-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095280",
            "telephone_number": "775-360-3206",
            "fax_number": "775-490-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINOCCHIO",
        "first_name": "MALLORY",
        "middle_name": "K",
        "credential": "OTD, MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.