Active NPI
Jill Allen, SPA
- Speech-Language Assistant
- Texarkana, TX
National Provider Identifier
1831440486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 32901
- Practice address
- 3410 Magnolia St
Texarkana, TX 75503-3729 - Phone
- (903) 792-3003
- Fax
- (903) 794-1005
- NPI assigned
- Sep 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 32901 | TX | Primary |
Addresses
Primary practice location
3410 Magnolia St
Texarkana, TX 75503-3729
Mailing address
3410 Magnolia St
Texarkana, TX 75503-3729
Phone (903) 792-3003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32901 | Other | TX | LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32901 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Options of Texarkana, Inc. | Past | Accepting new patients | |
| Therapy Options of Texarkana, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Texarkana, TX
- NPI 1467893909
-
- Occupational Therapist
- Texarkana, TX
- NPI 1528003969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348358400000",
"number": "1831440486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 MAGNOLIA ST",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033729",
"telephone_number": "903-792-3003",
"fax_number": "903-794-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 MAGNOLIA ST",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033729",
"telephone_number": "903-792-3003",
"fax_number": "903-794-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JILL",
"name_prefix": "Mrs.",
"credential": "SPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-23",
"last_updated": "2012-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "32901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "32901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.