Active NPI
Jessica H Allen, OTR/L
- Occupational Therapist
- Winston Salem, NC
National Provider Identifier
1699010256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15214
- Practice address
- 134 S Peace Haven Rd
Winston Salem, NC 27104-4418 - Phone
- (901) 761-0021
- NPI assigned
- Dec 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15214 | NC | Primary |
Addresses
Primary practice location
134 S Peace Haven Rd
Winston Salem, NC 27104-4418
Mailing address
1990 Shoals Rd
Pinnacle, NC 27043-9166
Phone (336) 710-9037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15214 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab at Your Place, LLC | Occupational Therapist | Past | Accepting new patients |
| Rehab at Your Place | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- In Home Supportive Care Agency
- Memphis, TN
- NPI 1477970242
-
- Rehabilitation Practitioner
- Memphis, TN
- NPI 1194868158
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1699010256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 SHOALS RD",
"city": "PINNACLE",
"state": "NC",
"postal_code": "270439166",
"telephone_number": "336-710-9037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 S PEACE HAVEN RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044418",
"telephone_number": "901-761-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JESSICA",
"middle_name": "H",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-06",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "15214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.