Mona Jean Allen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5274-26 Issued in WI

Practice address

1650 Tri Park Way Ste a
Appleton, WI 54914-1698

Phone

(920) 830-6697

Fax

(920) 830-6707

NPI assigned

Dec 15, 2014

Last updated

Dec 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blankenheim Services, LLC

  • Occupational Therapist
  • Appleton, WI
  • NPI 1992977862
  NPD (past)
• Blankenheim Occupational Therapy

  • Occupational Therapist
  • Rochester, NY
  • NPI 1588981054
  NPD (past)

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1154729630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 TRI PARK WAY STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141698",
            "telephone_number": "920-830-6697",
            "fax_number": "920-830-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 TRI PARK WAY STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141698",
            "telephone_number": "920-830-6697",
            "fax_number": "920-830-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MONA",
        "middle_name": "JEAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5274-26",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Allard
• Allcare Dental & Dentures of Wi PC
• Trever Jaymes Allcock, LCSW
• Catherine A Allen, MSN, APNP
• Eric Allen, SAC-IT
• Allergy and Asthma Associates, SC
• John N Allhiser, MD
• Kristina Rae Almanza, APRN
• John E Almquist, MD
• Alovia Care

• Occupational Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.