Active NPI
John Malloy, O.T.
- Occupational Therapist
- Tryon, NC
National Provider Identifier
1972608545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3740
- Practice address
- 185 Woody Circle
Tryon, NC 28782 - Phone
- (828) 894-0476
- Fax
- (828) 894-6588
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3740 | NC | Primary |
Addresses
Primary practice location
185 Woody Circle
Tryon, NC 28782
Mailing address
185 Woody Circle
Tryon, NC 28782
Phone (828) 894-0476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301806 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3740 | NC | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Therapy Services | Occupational Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Occupational Therapist
- Tryon, NC
- NPI 1487754875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972608545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 WOODY CIRCLE",
"city": "TRYON",
"state": "NC",
"postal_code": "28782",
"telephone_number": "828-894-0476",
"fax_number": "828-894-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 WOODY CIRCLE",
"city": "TRYON",
"state": "NC",
"postal_code": "28782",
"telephone_number": "828-894-0476",
"fax_number": "828-894-6588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOY",
"first_name": "JOHN",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "3740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301806",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tryon, NC
Sources for this page
- 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.