Mallory Boden, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT011427 Issued in OH

Practice address

5311 Longwood Ave
Parma, OH 44134-3800

Phone

(440) 842-5300

NPI assigned

May 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Parma City School District

  • Local Education Agency (LEA)
  • Parma Heights, OH
  • NPI 1538347091
  NPD (past)

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1871168575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 MALIBU DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441305940",
            "telephone_number": "440-371-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 LONGWOOD AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441343800",
            "telephone_number": "440-842-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEN",
        "first_name": "MALLORY",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "UCPcleveland.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "ucpcleveland.org",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "10011 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441064701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David B Blossom, M.D.
• Cassandra Blotzer
• Kara Allyson Bobosky, PA
• Aidan Bobrow, DO
• Vivian Bochenek, DO
• Ashley Bodossian, LPN
• Ana De Freitas Boe
• Charles Henry Boester, DDS, MS
• Isaac O Bofah Jr.
• Pooja Boghara, PHARMD

• Occupational Therapist in Parma, OH
• Providers in Parma, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.