Active NPI
Elizabeth Ann Allen
- Occupational Therapist
- Buda, TX
National Provider Identifier
1194477950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 122204
- Practice address
- 17301 S I-35 Frontage Rd
Set 101
Buda, TX 78610 - Phone
- (512) 994-4115
- NPI assigned
- Jan 24, 2022
- Last updated
- Jan 24, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 122204 | TX | Primary |
Addresses
Primary practice location
17301 S I-35 Frontage Rd
Set 101
Buda, TX 78610
Mailing address
141 Goddard
Kyle, TX 78640-5483
Phone (832) 713-3940
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 |
|---|---|---|---|
| 122204 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maciel, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
17301 S Ih 35
Ste 101
Buda, TX 78610
Phone (512) 994-4115
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1194477950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 GODDARD",
"city": "KYLE",
"state": "TX",
"postal_code": "786405483",
"telephone_number": "832-713-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17301 S I-35 FRONTAGE RD",
"address_2": "SET 101",
"city": "BUDA",
"state": "TX",
"postal_code": "78610",
"telephone_number": "512-994-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "122204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.