QUINN ANTHONY MALBROUGH OTD
NPI 1457050635
Occupational Therapist in Birmingham, AL
NPI Status: Active since February 27, 2023
Contact Information
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL
ZIP 35205
Phone: (205) 939-3699
Fax: (205) 484-2585
- Individual
- Male
- Years of Experience 5
- Occupational Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About QUINN MALBROUGH
This page provides the complete NPI Profile along with additional information for Quinn Malbrough, a provider established in Birmingham, Alabama with a medical specialization in Occupational Therapist and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1457050635 assigned on February 2023. The practitioner's primary taxonomy code is 225X00000X with license number 5986 (AL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1457050635
- Provider Name
- QUINN ANTHONY MALBROUGH OTD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 805 SAINT VINCENTS DR STE 100 BIRMINGHAM, AL 35205
- Location Phone
- (205) 939-3699
- Location Fax
- (205) 484-2585
- Mailing Address
- 805 SAINT VINCENTS DR STE 100 BIRMINGHAM, AL 35205
- Mailing Phone
- (205) 939-3699
- Mailing Fax
- (205) 484-2585
- Medical School Name
- OTHER
- Graduation Year
- 2021
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-27-2023
- Last Update Date
- 05-05-2025
- Code Navigator
Location Map
Secondary Locations
- 1423 Gadsden Hwy Ste 135
Birmingham, AL 35235
(205) 655-1921
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist
- Taxonomy Code
- 225X00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 5986
- License State
- AL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Saver Silver EPO - EPO
- Blue Standardized Silver EPO - EPO
- Blue Standardized Statewide Silver EPO - EPO
- Blue Statewide Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Quinn Malbrough is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 9537532742
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230308001096
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|
Reviews for QUINN ANTHONY MALBROUGH OTD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1457050635, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
BIRMINGHAM, AL 35205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457050635, enumerated as an "individual" on February 27, 2023.
The provider is located at 805 SAINT VINCENTS DR STE 100 BIRMINGHAM, AL 35205 and the phone number is (205) 939-3699.
Occupational Therapist with taxonomy code 225X00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to verify.
