MALLORY SERPAN BLACKBURN OTR/L
NPI 1164291456
Occupational Therapist in Raleigh, NC

Active since December 27, 2023
4201 LAKE BOONE TRL STE 4, RALEIGH, NC 27607(919) 781-4434 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mallory Serpan Blackburn Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY SERPAN BLACKBURN OTR/L (NPI 1164291456) is an individual occupational therapist in Raleigh, North Carolina, licensed in North Carolina (15745) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1164291456
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMALLORY SERPAN BLACKBURNCredential: OTR/L
Location Address4201 LAKE BOONE TRL STE 4Raleigh, NC 27607-7511
Mailing Address4201 Lake Boone Trl Ste 4Raleigh, NC 27607-7511 · (919) 781-4434
Sole ProprietorNo
Enumeration DateDecember 27, 2023
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
NPI 1164291456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in NC · 15745
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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.
4201 LAKE BOONE TRL STE 4, Raleigh, NC 27607

Other Names 1

Former Name (1)Mallory Nicole Serpan Otr/l

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
4201 LAKE BOONE TRL STE 4
RALEIGH, NC 27607
Speech-Language Pathologist
4201 LAKE BOONE TRL STE 4
RALEIGH, NC 27607
Speech-Language Pathologist
4201 LAKE BOONE TRL STE 4
RALEIGH, NC 27607
Speech-Language Pathologist
4201 LAKE BOONE TRL STE 4
RALEIGH, NC 27607
Speech-Language Pathologist
4201 LAKE BOONE TRL STE 4
RALEIGH, NC 27607
Speech-Language Pathologist
4201 LAKE BOONE TRL STE 4
RALEIGH, NC 27607
Speech-Language Pathologist
4201 LAKE BOONE TRL STE 4
RALEIGH, NC 27607
Occupational Therapist
4201 LAKE BOONE TRL STE 4
RALEIGH, NC 27607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Blackburn's NPI number?

The NPI number for Mallory Blackburn is 1164291456. It was assigned to this individual provider in the NPPES registry on December 27, 2023. The provider is also known as Mallory Nicole Serpan Otr/L.

Where is Mallory Blackburn located?

Mallory Blackburn practices at 4201 Lake Boone Trl Ste 4, Raleigh, NC 27607. The listed phone number is (919) 781-4434.

What is Mallory Blackburn's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

What insurance does Mallory Blackburn accept?

Health plans from Blue Cross and Blue Shield of NC list Mallory Blackburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Blackburn was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.