Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Elise Taylor

Individual provider Occupational Therapist · NPI 1164366779

Mallory Elise Taylor is an Occupational Therapist in Private Practice in Phoenix, Arizona. Qualified in 2024, 2 years ago. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2026

Practice location Address checks out

1190 E Missouri Ave Ste 100
Phoenix, AZ 85014-2719
Phone: (602) 393-0520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (AZ)

Record details

NPI number1164366779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Phoenix