IndividualActive
Mallory Fiorucci, COTA/L
NPI 1265032833 · Occupational Therapy Assistant · Daytona Beach, FL
Provider details
- NPI number
- 1265032833
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 17762 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 National Health Care Dr
Daytona Beach, FL 32114-1494
Phone: (386) 257-6362
Street-level locationGet directions
Mailing address
5400 Coraci Blvd Apt 5201
Port Orange, FL 32128-7575
Additional practice locations (2)
- 5400 Coraci Blvd Apt 5201Port Orange, FL 32128-7575Phone: (440) 759-2113
- 5400 Coraci Blvd Apt 5201Port Orange, FL 32128-7575Phone: (440) 759-2113
Registry dates
- Enumerated
- 2020-10-31
- Last updated
- 2020-10-31
- Certified
- 2020-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.