Ebony Rae Allen

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP009723 Issued in PA

Practice address

1133 S Jefferson St Apt 9
Allentown, PA 18103-3888

Phone

(614) 596-6364

NPI assigned

Jun 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1780178145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 S JEFFERSON ST APT 9",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033888",
            "telephone_number": "614-596-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 S JEFFERSON ST APT 9",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033888",
            "telephone_number": "614-596-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "EBONY",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "212614",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA005619",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP009723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780178145",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen Audiology & Westgate Hearing, Inc.
• Allen Audiology LLC
• Allen Ear Nose & Throat Assoc
• Allen Oral Surgery Associates P.C.
• Jillian Lee Allen-Fahler, DO
• Jennifer Allen, M.D.
• Michael Allen, RPH
• Uniqua Allen
• Allentown Anesthesia Associates, Inc.
• Allentown Associates in Psychiatry and Psychology

• Occupational Therapy Assistant in Allentown, PA
• Providers in Allentown, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.