Jensen Nicole Allen, MS, OTR/L
Individual provider Active NPI Occupational Therapist · Meridian, ID
NPI 1760197271 · NPPES record last updated Jan 18, 2023
Key facts
- NPI
- 1760197271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-2679 (ID)
- Practice address
- 520 S Eagle Rd
Meridian, ID 83642-6351 - Phone
- (714) 293-1662
- NPI assigned
- Jan 18, 2023
- Sex
- Female
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2679 | ID | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-2679 | ID | Yes |
Addresses
Primary practice location
520 S Eagle Rd
Meridian, ID 83642-6351
Mailing address
2594 Flanders CT
Brea, CA 92821-4666
Phone (714) 293-1662
Other providers in Meridian, ID
- David Allen
- Erica Nicole Allen
- Ginger A. Allen
- Gray Allen
- Hallie Jenee Allen
- Laura B Allen
- Russell C Allen
- Alliance Healthcare Services Inc
- Alliance Medical Group, LLC
- Alliance Medical Group, LLC
All providers in Meridian, ID · Occupational Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.