MALLORY JANE W. KANTOS OTR/L
NPI 1952938268
Occupational Therapist in Inver Grove Heights, MN

Active since March 25, 2020
2925 BUCKLEY WAY, INVER GROVE HEIGHTS, MN 55076(651) 455-0561 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 16, 2022, Mar 25, 2020 (2 updates tracked since 2020).

About Mallory Jane W. Kantos Otr/l NPPES

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

MALLORY JANE W. KANTOS OTR/L (NPI 1952938268) is an individual occupational therapist in Inver Grove Heights, Minnesota, licensed in Minnesota (106194) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1952938268
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMALLORY JANE W. KANTOSCredential: OTR/L
Location Address2925 BUCKLEY WAYInver Grove Heights, MN 55076-2018
Mailing Address4338 Mccoll DrSavage, MN 55378-1535 · (320) 250-9620
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateSeptember 16, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1952938268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MN · 106194
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.
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X · License 106194 (MN)
2925 BUCKLEY WAY, Inver Grove Heights, MN 55076

Other Names 1

Former Name (1)Mallory Jane Waytashek Otr/l

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Jane W. Kantos Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Mallory Kantos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
16830 198TH AVE NW, CENTRACARE CLINIC - BIG LAKE
Big Lake, MN 55309
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
Substance Abuse Rehabilitation Facility
1485 10TH AVE NE
Sauk Rapids, MN 56379
  • Reassigned Medicare billing, Minnesota enrollment
  • 415 clinicians in this Medicare group
Pediatrics
111 2ND ST S
Sartell, MN 56377
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Sartell Pediatrics PA
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
2925 BUCKLEY WAY
INVER GROVE HEIGHTS, MN 55076
Speech-Language Pathologist
2925 BUCKLEY WAY
INVER GROVE HEIGHTS, MN 55076
Speech-Language Pathologist
2925 BUCKLEY WAY
INVER GROVE HEIGHTS, MN 55076
Occupational Therapist
2925 BUCKLEY WAY
INVER GROVE HEIGHTS, MN 55076
Physical Therapist
2925 BUCKLEY WAY
INVER GROVE HEIGHTS, MN 55076
Occupational Therapist
2925 BUCKLEY WAY
INVER GROVE HEIGHTS, MN 55076
Speech-Language Pathologist
2925 BUCKLEY WAY
INVER GROVE HEIGHTS, MN 55076
Occupational Therapist (Pediatrics)
2925 BUCKLEY WAY
INVER GROVE HEIGHTS, MN 55076

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 Kantos's NPI number?

The NPI number for Mallory Kantos is 1952938268. It was assigned to this individual provider in the NPPES registry on March 25, 2020. The provider is also known as Mallory Jane Waytashek Otr/L.

Where is Mallory Kantos located?

Mallory Kantos practices at 2925 Buckley Way, Inver Grove Heights, MN 55076. The listed phone number is (651) 455-0561.

What is Mallory Kantos's specialty?

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

Is Mallory Kantos enrolled in Medicare?

Yes. Mallory Kantos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mallory Kantos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Kantos reassigns Medicare benefits to 3 organizations: Centracare Clinic (Big Lake, MN), St. Cloud Hospital (Sauk Rapids, MN) and Sartell Pediatrics, P.A. (Sartell, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Kantos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Kantos accept?

Health plans from Medica and Sanford Health Plan list Mallory Kantos 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 Kantos was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.