Individual provider Active NPI

Mary Scalisi, OTR/L

  • Occupational Therapist
  • Pelham, AL
National Provider Identifier
1982099339
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT24030 Issued in FL
Practice address
120 Cahaba Valley Pkwy Ste 100
Pelham, AL 35124-1187
Phone
(205) 909-2540
Fax
(205) 682-3612
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3975 AL
Occupational Therapist 225X00000X OT24030 FL Primary

Addresses

Primary practice location

120 Cahaba Valley Pkwy Ste 100
Pelham, AL 35124-1187

Mailing address

251 Johnston St SE Ste 200
Decatur, AL 35601-2515
Phone (256) 350-1764

Other practice location 1

1808 Gadsden Hwy
Suite 138
Birmingham, AL 35235-3139
Phone (205) 655-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150521001063 AL Practitioner - Occupational Therapist in Private Practice 3173843737 Reassigns benefits to 1 organization
I20230427003010 FL Practitioner - Occupational Therapist in Private Practice 3173843737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy One Rehabilitation Center IncGroup PAC ID 7113131475, 10 clinicians

Practice addresses (Care Compare)

702 S Tyndall Pkwy
Panama City, FL 32404-6928
Phone (850) 215-5051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc. Occupational Therapist CurrentSince Jan 1, 2018 Accepting new patients
North Florida Surgeons, PA CurrentSince Jan 6, 2025 Accepting new patients
Neurology Neurodiagnostic Lab LLC CurrentSince Jun 17, 2017 Accepting new patients
North Florida Surgeons, PA CurrentSince Jan 6, 2025 Accepting new patients
Encore Rehabilitation, Inc CurrentSince Jan 1, 2018 Accepting new patients

Locations

950 Medical Center Dr
Bessemer, AL 35022
Phone (205) 481-7125

5291 Valleydale Rd
Ste 113
Birmingham, AL 35242
Phone (205) 408-4123

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

5508 Stadium Trace Pkwy
Hoover, AL 35244
Phone (205) 682-7650

120 Cahaba Valley Pkwy
Ste 100
Pelham, AL 35124
Phone (205) 621-3778

133 Racetrack Rd NW
Ste B
Fort Walton Beach, FL 32547
Phone (850) 344-7500

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

1950 Bluewater Blvd
Ste 100
Niceville, FL 32578
Phone (850) 897-8081

1040 Gulf Breeze Pkwy
Ste 200
Pensacola Beach, FL 32561
Phone (850) 916-8711

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1982099339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 200",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-350-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAHABA VALLEY PKWY STE 100",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241187",
            "telephone_number": "205-909-2540",
            "fax_number": "205-682-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 Gadsden Hwy",
            "address_2": "Suite 138",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353139",
            "country_code": "US",
            "telephone_number": "205-655-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCALISI",
        "first_name": "MARY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3975",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT24030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.