Active NPI
Patti L Ally
Doing business as Ally Hearing Center
- Audiologist-Hearing Aid Fitter
- Peoria, IL
National Provider Identifier
1013958941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patti Lynn Ally, M.S.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 353701941001 | Medicaid | IL |
Other names 1
- Ally Hearing Center
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Audiologist-Hearing Aid Fitter
- Peoria, IL
- NPI 1124093927
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.