Stephen John Malcolm, O.T

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4501 Issued in NC

Practice address

224 Laurel Gap RDG
Boone, NC 28607-6273

Phone

(828) 263-8090

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolinas Cognitive Care, Inc.

  • Occupational Therapist
  • Boone, NC
  • NPI 1992851356
  NPD (past)
• Cornerstone Services, Inc.

  • Occupational Therapist
  • Boone, NC
  • NPI 1518988617
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891823316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 LAUREL GAP RDG",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076273",
            "telephone_number": "828-263-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 LAUREL GAP RDG",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076273",
            "telephone_number": "828-263-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "O.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M & L Behavioral Services Inc.
• Kathryn Mae Bradley Machon, DPT
• Yvonne Mack, M.D.
• Danielle L Mahaffey, MD
• Vanessa Dawn Main
• Marathon Chiropractic Clinic
• Marathon Chiropractic Clinic PLLC
• Logan Marine
• Carol Conley Marks, PHYSICIANS ASSISTANT
• Marshall C. Murrey, MD

• Occupational Therapist in Boone, NC
• Providers in Boone, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.