KELLY ANN MALLOY (NPI# 1740414614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740414614 |
| Entity Type | Individual |
| Full Name | KELLY ANN MALLOY |
| Practice Address |
2810 Ambassador Caffery Pkwy Lafayette LA 70506-5906 |
| Mailing Address |
114 Riverbirch Dr Lafayette LA 70508-1819 |
| Practice Telephone | 3379896797 |
| Practice Fax Number | 3379896759 |
| Mailing Telephone | 3379501317 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA200055 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194239319 | Kelly Ann Malloy | Physical Therapist | 20 W Maple Ave, Merchantville, NJ 08109-5104 | 2017-11-27 |
| 1881088573 | Kelly Malloy | Physical Therapist | 811 W Evergreen Ave, Suite 306, Chicago, IL 60642-2682 | 2015-03-20 |
| 1174864987 | Kelly J Malloy | Pharmacist | 600 Court St, Fulton, MO 65251-1903 | 2013-03-05 |
| 1538448717 | Kelly L Malloy | Day Training/Habilitation Specialist | 1005 Balcom Ln, Trumann, AR 72472-9502 | 2011-08-05 |
| 1578787073 | Kelly Kathleen Malloy | Obstetrics & Gynecology | 1881 Chicago St, De Pere, WI 54115-3770 | 2007-04-13 |
| 1588792097 | Kelly Michele Malloy | Otolaryngology | 1500 E Medical Center Dr, 1st Floor Taubman Ctr Recp A, Ann Arbor, MI 48109-5312 | 2007-02-28 |
| 1598773384 | Kelly A Malloy | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2006-08-04 |
| Street Address |
2810 AMBASSADOR CAFFERY PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236413 | Peter N Agomuo | Radiology | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2005-06-22 |
| 1124636683 | Lauren Butcher | Nurse Practitioner | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2020-07-21 |
| 1750999157 | Beauvais Health, LLC | Rehabilitation Unit | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2020-07-21 |
| 1154845808 | Collins T Kgoadi | Emergency Medicine | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2017-08-02 |
| 1992140701 | Degeyter and Rossitter Medical Research and Development LLC | Internal Medicine | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2013-05-07 |
| 1174898845 | Rmca Professionals Mgmt, LLC | Internal Medicine | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2012-03-14 |
| 1376869008 | Tracy Nicole Thibodeaux | Speech-Language Pathologist | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2010-04-20 |
| 1831422187 | Tommie Jude Hebert | Nurse Practitioner | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-09-17 |
| 1053540187 | Brandon Wayne Vidrine | Nurse Practitioner | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-07-10 |
| 1467686220 | Audrey Hopkins Davis | Occupational Therapist | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| 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 |
|---|---|---|---|---|
| 1659854909 | Taylor Christine Wilkerson | Occupational Therapy Assistant | 102 Huggins Rd, Lafayette, LA 70506-5802 | 2018-09-12 |
| 1801296967 | Lacey Hintz | Occupational Therapy Assistant | 2308 Edgelea Dr, Lafayette, IN 47909 | 2014-08-26 |
| 1477805075 | Misty Dawn Allen | Occupational Therapy Assistant | 250 Shenandoah Dr Apt 36, Lafayette, IN 47905-5931 | 2012-10-05 |
| 1386958775 | Crystal Lynn Holiday | Occupational Therapy Assistant | 1417 Norcross Way, Lafayette, IN 47909-8222 | 2010-07-28 |
| 1710150396 | Kelsey Bower | Occupational Therapy Assistant | 3741 Rome Dr Ste A, Lafayette, IN 47905-4490 | 2008-04-03 |
| 1972149359 | Paige Ubel | Occupational Therapy Assistant | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-11-21 |
| 1366087009 | Sarah Elizabeth Guy | Occupational Therapy Assistant | 3400 Mt Diablo Blvd Ste 200, Lafayette, CA 94549-3994 | 2019-11-15 |
| 1699254821 | Brandi Alexis Welch | Occupational Therapy Assistant | 329 Exempla Cir, Lafayette, CO 80026-3482 | 2018-08-08 |
| 1124514559 | Abbey Harris | Occupational Therapy Assistant | 329 Exempla Cir, Lafayette, CO 80026-3482 | 2018-07-09 |
| 1619470846 | Melissa Mccabe | Occupational Therapy Assistant | 156 State Route 15, Lafayette, NJ 07848-2607 | 2018-03-14 |
| Find all providers in LAFAYETTE | ||||
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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.