Elizabeth Ann Allen
Individual provider Active NPI Occupational Therapist · Buda, TX
NPI 1194477950 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1194477950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 122204 (TX)
- Practice address
- 17301 S I-35 Frontage Rd
Set 101
Buda, TX 78610 - Phone
- (512) 994-4115
- NPI assigned
- Jan 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 122204 | TX | Yes |
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
Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.