Individual provider Active NPI

Nancy Elaine Allen

  • Occupational Therapist
  • Hazard, KY
National Provider Identifier
1134972128
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
273357 Issued in KY
Practice address
572 Village LN
Hazard, KY 41701-9406
Phone
(606) 439-5055
Fax
(606) 467-2212
NPI assigned
Apr 9, 2024
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 273357 KY Primary

Addresses

Primary practice location

572 Village LN
Hazard, KY 41701-9406

Mailing address

572 Village LN
Hazard, KY 41701-9406
Phone (606) 439-5055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513002785 KY Practitioner - Occupational Therapist in Private Practice 6901247626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Therapy, LLCGroup PAC ID 1153714142, 3 clinicians

Practice addresses (Care Compare)

572 Village LN
Hazard, KY 41701-9406
Phone (606) 439-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
273357KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Therapy, LLC Occupational Therapist CurrentSince Jun 1, 2024 Accepting new patients
MD Analysis LLC PastSince Apr 14, 2024 Accepting new patients

Locations

572 Village Ln
Hazard, KY 41701
Phone (606) 439-5055

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1134972128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 VILLAGE LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019406",
            "telephone_number": "606-439-5055",
            "fax_number": "606-467-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 VILLAGE LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019406",
            "telephone_number": "606-439-5055",
            "fax_number": "606-467-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "NANCY",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "273357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.