Individual provider Active NPI

Joshua C Allison, C-PED

  • Prosthetic/Orthotic Supplier
  • Glen Carbon, IL
National Provider Identifier
1740304153
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Practice address
4225 S State Route 159
Ste 1
Glen Carbon, IL 62034-3231
Phone
(618) 288-9297
Fax
(618) 288-1260
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X IL Primary

Addresses

Primary practice location

4225 S State Route 159
Ste 1
Glen Carbon, IL 62034-3231

Mailing address

4225 S State Route 159
Ste 1
Glen Carbon, IL 62034-3231
Phone (618) 288-9297

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

LicenseStateTypeSpecialty
212.000142ILMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
New Step Orthotic Lab, Inc Prosthetic/Orthotic Supplier Past Accepting new patients
Joshua C Allison Prosthetic/Orthotic Supplier 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1740304153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 S STATE ROUTE 159",
            "address_2": "STE 1",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343231",
            "telephone_number": "618-288-9297",
            "fax_number": "618-288-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 S STATE ROUTE 159",
            "address_2": "STE 1",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343231",
            "telephone_number": "618-288-9297",
            "fax_number": "618-288-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "JOSHUA",
        "middle_name": "C",
        "credential": "C-PED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.