Active NPI
Allison Pribble Doan, OTR/L
- Pediatric Occupational Therapist
- Wynne, AR
National Provider Identifier
1174999692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTR2810
- Practice address
- 750 Bridges Street
Suite a
Wynne, AR 72396-2024 - Phone
- (870) 630-2328
- NPI assigned
- Aug 19, 2015
- Last updated
- Aug 19, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTR2810 | AR | Primary |
| Gerontology Occupational Therapist | 225XG0600X | OTR2810 | AR |
Addresses
Primary practice location
750 Bridges Street
Suite a
Wynne, AR 72396-2024
Mailing address
2100 Morningside Dr
Wynne, AR 72396-2540
Phone (870) 588-5860
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 |
|---|---|---|---|
| OTR2810 | AR | MD | Gerontology Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above and Beyond Pediatric Therapy, Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Springdale, AR
- NPI 1316592801
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1174999692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MORNINGSIDE DR",
"city": "WYNNE",
"state": "AR",
"postal_code": "723962540",
"telephone_number": "870-588-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 BRIDGES STREET",
"address_2": "SUITE A",
"city": "WYNNE",
"state": "AR",
"postal_code": "723962024",
"telephone_number": "870-630-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "ALLISON",
"middle_name": "PRIBBLE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AR",
"license": "OTR2810",
"primary": true
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "AR",
"license": "OTR2810",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynne, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.