Katelyn Allen, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1202 NE McClain Rd Ste 137
Bentonville, AR 72712-3875

Phone

(479) 407-4523

Fax

(855) 731-1394

NPI assigned

Jul 3, 2016

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Square One OT

  • Pediatric Occupational Therapist
  • Bentonville, AR
  • NPI 1124783998
  NPD Authorized official
• Post 0218, PLC

  • Physical Therapy Clinic/Center
  • Rogers, AR
  • NPI 1679617427
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2022.

{
    "created_epoch": "1467504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1376995209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 NE MCCLAIN RD STE 137",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123875",
            "telephone_number": "479-407-4523",
            "fax_number": "855-731-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 NE MCCLAIN RD STE 137",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123875",
            "telephone_number": "479-407-4523",
            "fax_number": "855-731-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KATELYN",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-03",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Alexander, MS
• Madelyn Allard
• Heather Allen
• Heather Elizabeth Allen, PHARM.D
• Henry Allen
• Sarah Allen
• Allergy & Asthma Clinic of Northwest Arkansas
• Josh Allison
• Evelyn Almaraz, RBT
• Zinah Alrawi

• All providers in Bentonville, AR
• Occupational Therapist in Arkansas

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

Verify at the official NPI Registry.