Dorene Allis
Individual provider Active NPI Occupational Therapist · Great Falls, MT
NPI 1336351972 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1336351972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 986 (MT)
- Practice address
- 1500 32ND St S
Great Falls, MT 59405-5300 - Phone
- (406) 761-4300
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 986 | MT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 986 | MT | Yes |
Addresses
Primary practice location
1500 32ND St S
Great Falls, MT 59405-5300
Mailing address
1500 32ND St S
Great Falls, MT 59405-5300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 986 | Medicaid | MT |
Other providers in Great Falls, MT
- Khansa Ali
- Deeann M. Allen
- Jeffrey L. Allen
- Kevin Cedric Allen
- Rebecca M Allen
- Amy Marie Allison Thompson
- Alluvion Clinical Services LLC
- Luke David Almos
- Batool Alnahar
- Alternative Choices
All providers in Great Falls, MT · Occupational Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 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.