Ginette M Allen, OT

Individual provider Active NPI Occupational Therapist · Shelbyville, KY

NPI 1801022173 · NPPES record last updated Apr 12, 2017

Key facts

NPI
1801022173
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
KY-R3381 (KY)
Practice address
90 Howard Dr
Shelbyville, KY 40065-8138
Phone
(502) 633-1007
Fax
(502) 805-1511
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Pediatric Therapy, LLC (3 clinicians)

Practice addresses (Care Compare)

1900 Midland TRL
1 2
Shelbyville, KY 40065-8141
Phone (502) 633-1007

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090817000463 KY Practitioner - Occupational Therapist in Private Practice 8921152521 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
KY-R3381KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Pediatric Therapy, LLC Occupational Therapist Current
since Jun 1, 2012
Accepting new patients
Associates in Pediatric Therapy, LLC Occupational Therapist Current
since Jun 1, 2012
Accepting new patients
Associates in Pediatric Therapy, LLC Occupational Therapist Current Accepting new patients

Locations

9810 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 473-7219

11840 Commonwealth Dr
Louisville, KY 40299
Phone (502) 203-1918

1900 Midland Trl
#12
Shelbyville, KY 40065

1900 Midland Trl
Ste 1
Shelbyville, KY 40065
Phone (205) 633-1007

90 Howard Dr
Shelbyville, KY 40065
Phone (502) 233-9074

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X KY-R3381 KY Yes

Addresses

Primary practice location

90 Howard Dr
Shelbyville, KY 40065-8138

Mailing address

90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007

Other names

  • Ginette M Newton Former name

Other providers in Shelbyville, KY

All providers in Shelbyville, KY · Occupational Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.