Mallory Terese Hammer, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007849 Issued in GA

Practice address

1275 Highway 54 W Ste 200
Fayetteville, GA 30214-4538

Phone

(770) 460-8609

Fax

(770) 460-8629

NPI assigned

Oct 25, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1801439492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 HIGHWAY 54 W STE 200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144538",
            "telephone_number": "770-460-8609",
            "fax_number": "770-460-8629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Green Meadow Ln",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302156503",
            "country_code": "US",
            "telephone_number": "770-864-6075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3128 Boxelder Dr",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820015808",
            "country_code": "US",
            "telephone_number": "706-634-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "MALLORY",
        "middle_name": "TERESE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony James Hall, APRN
• Carzadean Bernadette Hall, M.D.
• Christina L Hall, MS, OTR/L
• Shameka Hall, RBT
• Tenecia Nychelle Hall, DMD
• James Russell Handberry Jr., RPH
• Hands on Healing PC
• Damien M Hansra, MD
• Lysa Mari Haraway, BCBA
• Meghan Harbin, LCSW

• Occupational Therapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.