Kathleen Allen, MS, OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Allendale, NJ
NPI 1285263194 · NPPES record last updated Apr 2, 2020
Key facts
- NPI
- 1285263194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 46TR00274700 (NJ)
- Practice address
- 191 W Allendale Ave
Allendale, NJ 07401-1724 - Phone
- (201) 679-8747
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00274700 | NJ | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00274700 | NJ | |
| Pediatric Occupational Therapist | 225XP0200X | 46TR00274700 | NJ | Yes |
Addresses
Primary practice location
191 W Allendale Ave
Allendale, NJ 07401-1724
Mailing address
191 W Allendale Ave
Allendale, NJ 07401-1724
Phone (201) 679-8747
Other providers in Allendale, NJ
- A Work of Heart Counseling LLC
- Alexis Abate
- Acme Markets Inc
- Acme Markets Inc
- Allendale Assisted Living LLC
- Allendale Dental PC
- Allendale Nursing Home Inc
- Allendale Nursing Home, Inc
- Allendale Operator LLC
All providers in Allendale, NJ · Pediatric Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2020. 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.