Active NPI
Therese R Allen, MS/ OTR/L
- Pediatric Occupational Therapist
- Spring Valley, NY
National Provider Identifier
1831343540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 014738-1
- Practice address
- 749 N Main St
Spring Valley, NY 10977-1902 - Phone
- (845) 352-7140
- Fax
- (845) 352-7150
- NPI assigned
- Nov 7, 2008
- Last updated
- Feb 17, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | 014738-1 | NY | Primary |
Addresses
Primary practice location
749 N Main St
Spring Valley, NY 10977-1902
Mailing address
23 Renfrew Rd
Chestnut Ridge, NY 10977-6905
Phone (845) 623-1556
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014738-1 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockland Occupational Therapy for Children P C | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Spring Valley, NY
- NPI 1568770311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1831343540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 RENFREW RD",
"city": "CHESTNUT RIDGE",
"state": "NY",
"postal_code": "109776905",
"telephone_number": "845-623-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 N MAIN ST",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771902",
"telephone_number": "845-352-7140",
"fax_number": "845-352-7150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "THERESE",
"middle_name": "R",
"name_prefix": "Miss",
"credential": "MS/ OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-07",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "014738-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.