Mallory Pulfer, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3950 Issued in TN

Practice address

183 Harmon Smith Rd
Monroe, TN 38573-6112

Phone

(931) 871-9302

NPI assigned

Sep 14, 2021

Last updated

Oct 3, 2023By the provider in NPPES

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

Other names 1

• Mallory Walker-Pulfer Other 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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1831869734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 HARMON SMITH RD",
            "city": "MONROE",
            "state": "TN",
            "postal_code": "385736112",
            "telephone_number": "931-871-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 HARMON SMITH RD",
            "city": "MONROE",
            "state": "TN",
            "postal_code": "385736112",
            "telephone_number": "931-871-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULFER",
        "first_name": "MALLORY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "18574",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "3950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "WALKER-PULFER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brian Matthew Errick
• Jill Ann Mongene, MACC RD LDN
• Karrie Pedigo, CRT
• Shepards Private Duty

• Occupational Therapy Assistant in Monroe, TN
• Providers in Monroe, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.