Mallory Elise Phillips

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010019 Issued in MI

Practice address

501 S Health Pkwy
Three Rivers, MI 49093-8350

Phone

(269) 273-9682

NPI assigned

Oct 7, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mallory Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1780559179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57273 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S HEALTH PKWY",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938350",
            "telephone_number": "269-273-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MALLORY",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "MARTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Elizabeth Peavey
• Dana Pellegrino, PHD, BCBA-D
• Betsy Penn
• Melanie Ann Peppler, MA LLP
• Brandy Peterson, A.B.O.C., N.C.L.E.
• Jared Pirkle, DPT
• PMC Pharmacy Inc
• Jose Ricardo PO, M.D.
• Michaela Pomales
• Christopher Lee Price, MD

• Occupational Therapist in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.