Nicole K Allen, OTR
Individual provider Active NPI Occupational Therapist · Wichita, KS
NPI 1043556749 · NPPES record last updated Sep 12, 2016
Key facts
- NPI
- 1043556749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 17-02736 (KS)
- Practice address
- 3730 N Ridge Rd
Ste 500
Wichita, KS 67205-1227 - Phone
- (316) 440-4901
- Fax
- (316) 440-4904
- NPI assigned
- Dec 27, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-02736 | KS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced PT, LLC | Past |
Accepting new patients | |
| Apt West Wichita, LLC | Occupational Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-02736 | KS | Yes |
Addresses
Primary practice location
3730 N Ridge Rd
Ste 500
Wichita, KS 67205-1227
Mailing address
200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3013
Phone (316) 263-0003
Other providers in Wichita, KS
- Crystal D Allen
- Diane Allen
- Jessica Allen
- Molly Allen
- Monica Ann Allen
- Patrick L Allen
- Shawna Allen
- Steven Burton Allen
- Tracy Delois Allen
- Richard G Allenbach
All providers in Wichita, KS · Occupational Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.