Dannie Michele Allen, COTA

Individual provider Active NPI Occupational Therapy Assistant · Waco, TX

NPI 1417549536 · NPPES record last updated Feb 10, 2021

Key facts

NPI
1417549536
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
208622 (TX)
Practice address
2121 W Hwy 6
Waco, TX 76710-4021
Phone
(254) 651-1010
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
208622TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PA Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 208622 TX Yes

Addresses

Primary practice location

2121 W Hwy 6
Waco, TX 76710-4021

Mailing address

206 W Billington Dr
Robinson, TX 76706-5010
Phone (254) 420-9229

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Dmallen73076@hotmail.com Health Information Exchange (HIE)

Other providers in Waco, TX

All providers in Waco, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.