Active NPI
Charles J Allen, OTR/L,CHT
- Occupational Therapist
- Hauppauge, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2108 Joshuas Path
Hauppauge, NY 11788-4764 - Phone
- (631) 761-6996
- Fax
- (631) 761-6997
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
2108 Joshuas Path
Hauppauge, NY 11788-4764
Mailing address
20 Amber CT
Hauppauge, NY 11788-3107
Phone (631) 761-6996
Other practice location 1
290 E Main St Ste 400
Smithtown, NY 11787-2916
Phone (631) 675-5777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2108 Joshuas Path
Hauppauge, NY 11788-4764
Phone (631) 761-6996
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C.J. Allen OT Upper Extremity & Hand Therapy, PLLC | Occupational Therapist | Current | Accepting new patients |
| C.J. Allen OT Upper Extremity & Hand Therapy, PLLC | Occupational Therapist | Current | Accepting new patients |
| Bienetre Medical PC | Occupational Therapist | Current | Accepting new patients |
Locations
2108 Joshuas Path
Hauppauge, NY 11788
Phone (631) 265-0439
290 E Main St
Ste 400
Smithtown, NY 11787
Phone (631) 361-3325
Organizations & group practices 3
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.
-
dba C.J. Allen OT CHT Upper Extremity & Hand Therapy, PLLC
- Hand Occupational Therapist
- Hauppauge, NY
- NPI 1942699749
-
dba Zaya Care
- Physical Therapist
- New York, NY
- NPI 1568037257
Occupational Therapist
-
- Customized Equipment (DME)
- Smithtown, NY
- NPI 1447955356
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1548216237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 AMBER CT",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883107",
"telephone_number": "631-761-6996",
"fax_number": "631-761-6997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 JOSHUAS PATH",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884764",
"telephone_number": "631-761-6996",
"fax_number": "631-761-6997"
}
],
"practiceLocations": [
{
"address_1": "290 E Main St Ste 400",
"address_purpose": "LOCATION",
"city": "Smithtown",
"state": "NY",
"postal_code": "117872916",
"country_code": "US",
"telephone_number": "631-675-5777",
"fax_number": "631-761-6997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "CHARLES",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "OTR/L,CHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2024-03-01",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.