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

Mallory R Massey, OTR/L

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1548097439

Mallory R Massey, OTR/L is an Occupational Therapist in Private Practice in Jacksonville, Florida. Qualified in 2024, 2 years ago. Practices with Revive Rehab Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

4745 Sutton Park Ct Ste 403
Jacksonville, FL 32224-0255
Phone: (904) 371-4649
Fax: (888) 393-1099
Show map & directions

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

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence 25609 (FL)

Record details

NPI number1548097439
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

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)
Group practice Revive Rehab Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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