Active NPI
Deborah Renee Allen, LPTA
- Orthotic Fitter
- Beachwood, OH
National Provider Identifier
1104677285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- LPTA1414
- Practice address
- 23700 Commerce Park Rd
Beachwood, OH 44122 - Phone
- (216) 292-5706
- NPI assigned
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | LPTA1414 | OH | Primary |
Addresses
Primary practice location
23700 Commerce Park Rd
Beachwood, OH 44122
Mailing address
1887 Mud Run Rd SE
New Philadelphia, OH 44663
Phone (330) 243-2309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPTA1414 | OH | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1104677285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1887 MUD RUN RD SE",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "44663",
"telephone_number": "330-243-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23700 COMMERCE PARK RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-292-5706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "DEBORAH",
"middle_name": "RENEE",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthotic Fitter",
"state": "OH",
"license": "LPTA1414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.