Payton Malone, OTR/L
Individual provider Active NPI Occupational Therapist · Fountain Inn, SC
NPI 1730779455 · NPPES record last updated Jan 26, 2021
Key facts
- NPI
- 1730779455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 6080 (SC)
- Practice address
- 204 Shady Pines CT
Fountain Inn, SC 29644-9785 - Phone
- (864) 399-2674
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6080 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heaton Pediatric Therapy Inc. | Occupational Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6080 | SC | Yes |
Addresses
Primary practice location
204 Shady Pines CT
Fountain Inn, SC 29644-9785
Mailing address
PO Box 1312
Fountain Inn, SC 29644-1054
Phone (864) 408-9509
Other providers in Fountain Inn, SC
- Lillian R Lopez
- Kathleen Elizabeth Loring
- Lyfe Intervention Services
- James Roger Mahon
- Majestic Home Health Care LLC
- Mama T Herbs LLC
- Randy L Marg
- Katlyn Marks
- Meredith Marlowe
- Leah M Mauritz
All providers in Fountain Inn, SC · Occupational Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.