Organization Active NPI

Patti L Ally

Doing business as Ally Hearing Center

  • Audiologist-Hearing Aid Fitter
  • Peoria, IL
National Provider Identifier
1013958941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
PATTI L ALLY
Doing business as
Ally Hearing Center
Practice address
5401 N Knoxville Ave
Suite 116
Peoria, IL 61614-5098
Phone
(309) 282-0887
Fax
(309) 282-0947
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patti Lynn Ally, M.S.NPI 1124093927
Title
Audiologist Owner
Phone
(309) 282-0887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X IL Primary

Addresses

Primary practice location

5401 N Knoxville Ave
Suite 116
Peoria, IL 61614-5098

Mailing address

5401 N Knoxville Ave
Suite 116
Peoria, IL 61614-5021
Phone (309) 282-0887

Other identifiers 1

IdentifierTypeStateIssuer
353701941001MedicaidIL

Other names 1

  • Ally Hearing Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013958941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 116",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145021",
            "telephone_number": "309-282-0887",
            "fax_number": "309-282-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 116",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-282-0887",
            "fax_number": "309-282-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTI L ALLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLY",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "AUDIOLOGIST OWNER",
        "authorized_official_telephone_number": "309-282-0887",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353701941001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ally Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.