Active NPI
Allie Green Peacock, OTR
- Occupational Therapist
- Humble, TX
National Provider Identifier
1811237621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 115243
- Practice address
- 1000 1St St E
Humble, TX 77338-4924 - Phone
- (281) 540-2001
- Fax
- (281) 540-2789
- NPI assigned
- Feb 15, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 115243 | TX | Primary |
Addresses
Primary practice location
1000 1St St E
Humble, TX 77338-4924
Mailing address
1000 1St St E
Humble, TX 77338-4924
Phone (281) 540-2001
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole Health, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1811237621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 1ST ST E",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773384924",
"telephone_number": "281-540-2001",
"fax_number": "281-540-2789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 1ST ST E",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773384924",
"telephone_number": "281-540-2001",
"fax_number": "281-540-2789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "ALLIE",
"middle_name": "GREEN",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-15",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "115243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.