Samuel Luke Allen

Individual provider Active NPI Occupational Therapist · Jonesboro, AR

NPI 1437024239 · NPPES record last updated Oct 9, 2025

Key facts

NPI
1437024239
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTR4136 (AR)
Practice address
1699 Red Wolf Blvd Ste H
Jonesboro, AR 72401-5453
Phone
(870) 336-0021
NPI assigned
Oct 9, 2025
Sex
Male
Sole proprietor
No

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
OTR4136ARMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR4136 AR Yes

Addresses

Primary practice location

1699 Red Wolf Blvd Ste H
Jonesboro, AR 72401-5453

Mailing address

1699 Red Wolf Blvd Ste H
Jonesboro, AR 72401-5453
Phone (870) 336-0021

Other providers in Jonesboro, AR

All providers in Jonesboro, AR · Occupational Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.