Jon Michael Allen, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R1749 Issued in KY

Practice address

748 Chestnut Ave
Apt 1-C
Cookeville, TN 38501-1645

Phone

(606) 224-6915

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cumberland Rehabilitation Services LLC

  • Pediatric Rehabilitation Medicine Physician
  • Cookeville, TN
  • NPI 1306358916
  Medicare reassignment NPD Authorized official
• Peak Performance Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Wartburg, TN
  • NPI 1831220037
  NPD (past)
• South Fork Physical Therapy Rehab

  • Physical Therapy Clinic/Center
  • Oneida, TN
  • NPI 1699840397
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1083697221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 CHESTNUT AVE",
            "address_2": "APT. 1-C",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011645",
            "telephone_number": "606-224-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 CHESTNUT AVE",
            "address_2": "APT 1-C",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011645",
            "telephone_number": "606-224-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R1749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven M Alexander, MD
• Algood Family Dental Group
• All Good Health & Chiropractic PLLC
• Amanda Allen
• Jena Allen
• Mattie Allen
• Sarah M Allen, M.S. CCC-SLP
• Allergy Associates PA
• Allergy Associates, PA
• Allied Medical Inc

• Occupational Therapist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.