MALLORIE MCCOLLUM (NPI# 1568956928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568956928 |
| Entity Type | Individual |
| Full Name | MALLORIE MCCOLLUM |
| Practice Address |
1900 Stillwater Dr Jonesboro AR 72404-9119 |
| Practice Telephone | 8709323600 |
| Mailing Telephone | 8709323600 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OT2018-013 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1900 STILLWATER DR |
| City | JONESBORO |
| State | AR |
| Zip Code | 72404-9119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629008321 | Shelly Keller | Speech-Language Pathologist | 1900 Stillwater Dr, Jonesboro, AR 72404 | 2006-07-05 |
| 1821696725 | Sarah Deweese | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-13 |
| 1417555319 | Olivia Lawshe | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-13 |
| 1952909863 | Martha Aldridge | Driver | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-13 |
| 1811595713 | Kiara Minor | Driver | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-13 |
| 1386241263 | Kawaiala Mullen | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-05 |
| 1689280984 | Amanda Pemberton | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-22 |
| 1104432400 | Morgan Kilgore | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-22 |
| 1407461288 | Howell Davis | Driver | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-09 |
| 1629683479 | John Huffman | Driver | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
| 1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
| 1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
| 1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
| 1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
| 1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
| 1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
| 1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
| Find all providers in zip 72404 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841756 | Hannah Beth Johnston | Occupational Therapy Assistant | 970 County Road 753, Jonesboro, AR 72405-0232 | 2020-11-03 |
| 1356982771 | Emily Anne Zane | Occupational Therapy Assistant | 4289 Annadale Cir, Jonesboro, AR 72404-7665 | 2019-10-07 |
| 1477017192 | Okeri J Hollingshed | Occupational Therapy Assistant | 1010 Lakeview Way, Jonesboro, GA 30238-5659 | 2019-01-27 |
| 1295266120 | Wesley Jackson | Occupational Therapy Assistant | 2102 Sandbrook Dr, Jonesboro, AR 72404-0686 | 2017-03-22 |
| 1508304528 | Laura Beth Wade | Occupational Therapy Assistant | 2204 Chastain Dr, Jonesboro, AR 72401-8066 | 2017-02-09 |
| 1770033433 | Emily Miller | Occupational Therapy Assistant | 2103 Trinity Oaks Drive, Jonesboro, AR 72401-3688 | 2016-10-06 |
| 1841674512 | Jessica Rouse | Occupational Therapy Assistant | 1607 Stone St, Jonesboro, AR 72401-5332 | 2015-07-13 |
| 1477936375 | Krislane Woodard | Occupational Therapy Assistant | 2004 Turtle Creek Rd, Jonesboro, AR 72404-6971 | 2015-07-09 |
| 1477963429 | Kimberly Cooper | Occupational Therapy Assistant | 1507 Merrywood Dr, Jonesboro, AR 72401-5108 | 2014-04-30 |
| 1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.