Mallory Powell, COTA

Occupational Therapy Assistant · Longview, TX

Individual Active NPI

NPI number 1053275271

Practice location

5015 Rustic Oak Dr
Longview, TX 75604-8202
Phone
(903) 445-4064
Fax
(430) 558-5855

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NPI record

NPI
1053275271
Entity type
Individual (Type 1)
Enumeration date
December 11, 2025
Last updated
December 11, 2025
Certified
December 11, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 216955 TX

About Mallory Powell

Mallory Powell, COTA is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 5015 Rustic Oak Dr, Longview, TX 75604-8202. The NPI number 1053275271 was assigned on December 11, 2025 and the record was last updated on December 11, 2025.

Mallory Powell lists a license in the registry: #216955 (TX) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mallory Powell, COTA?

The NPI number is 1053275271.

What is the phone number of Mallory Powell?

The phone number listed for the practice location is (903) 445-4064.

Where is Mallory Powell located?

5015 Rustic Oak Dr, Longview, TX 75604-8202.

What is the taxonomy code for Mallory Powell?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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