Individual provider Active NPI

Allison J Mikelson, OTR

  • Neurorehabilitation Occupational Therapist
  • Allentown, PA
National Provider Identifier
1023693363
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
Practice address
3131 College Heights Blvd Ste 2400
Allentown, PA 18104-4817
Phone
(610) 432-7733
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X Primary

Addresses

Primary practice location

3131 College Heights Blvd Ste 2400
Allentown, PA 18104-4817

Mailing address

4913 Waterfall Dr
Macungie, PA 18062-9771
Phone (484) 264-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427002249 PA Practitioner - Occupational Therapist in Private Practice 2365850575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Priority Physical Therapy LLCGroup PAC ID 6800100884, 4 clinicians

Practice addresses (Care Compare)

3131 College Heights Blvd
Suite 2400
Allentown, PA 18104-4817
Phone (610) 432-7733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Physical Therapy LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

3131 College Heights Blvd
Ste 2400
Allentown, PA 18104
Phone (610) 432-2242

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1023693363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 WATERFALL DR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180629771",
            "telephone_number": "484-264-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD STE 2400",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044817",
            "telephone_number": "610-432-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELSON",
        "first_name": "ALLISON",
        "middle_name": "J",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.