Individual provider Active NPI

Mallory Foy, OTR/L

  • Occupational Therapist
  • Dacula, GA
National Provider Identifier
1912606096
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008760 Issued in GA
Practice address
2089 Teron Trce Ste 120
Dacula, GA 30019-1609
Phone
(770) 904-6009
NPI assigned
Feb 28, 2023
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT008760 GA Primary

Addresses

Primary practice location

2089 Teron Trce Ste 120
Dacula, GA 30019-1609

Mailing address

2089 Teron Trce Ste 120
Dacula, GA 30019-1609
Phone (770) 904-6009

Other practice location 1

1100 Sherwood Park Dr NE Ste 220
Gainesville, GA 30501-3426
Phone (770) 540-6004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT008760GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Ones Therapy Services, Inc. CurrentSince Mar 5, 2023 Accepting new patients

Locations

2089 Teron Trce
Ste 120
Dacula, GA 30019
Phone (770) 904-2357

1100 Sherwood Park Dr NE
Ste 220
Gainesville, GA 30501
Phone (678) 971-5048

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1912606096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 TERON TRCE STE 120",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191609",
            "telephone_number": "770-904-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 TERON TRCE STE 120",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191609",
            "telephone_number": "770-904-6009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Sherwood Park Dr NE Ste 220",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013426",
            "country_code": "US",
            "telephone_number": "770-540-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOY",
        "first_name": "MALLORY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.