Individual provider Active NPI

Stephanie Allen, OTR

  • Occupational Therapist
  • Galena, OH
National Provider Identifier
1235483496
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010890 Issued in OH
Practice address
6913 Falling Meadows Dr
Galena, OH 43021-7502
Phone
(614) 581-3277
NPI assigned
Nov 8, 2012
Last updated
Feb 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X #05155 OH
Occupational Therapist 225X00000X OT010890 OH Primary

Addresses

Primary practice location

6913 Falling Meadows Dr
Galena, OH 43021-7502

Mailing address

PO Box 152
Sunbury, OH 43074-0152
Phone (614) 581-3277

Other identifiers 1

IdentifierTypeStateIssuer
OT010890OtherOHOCCUPATIONAL THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL stephanie@advancedpeds.com Direct

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

LicenseStateTypeSpecialty
#05155OHMDOccupational Therapy Assistant
OT010890OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pediatric Therapies, LLC Occupational Therapist CurrentSince Feb 21, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1235483496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430740152",
            "telephone_number": "614-581-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 FALLING MEADOWS DR",
            "city": "GALENA",
            "state": "OH",
            "postal_code": "430217502",
            "telephone_number": "614-581-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "STEPHANIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "#05155",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "OT010890",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stephanie@advancedpeds.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6913 Falling Meadows Dr",
            "city": "Galena",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430217502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Galena, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.