Individual provider Active NPI

Jenna Allie

  • Occupational Therapist
  • Effingham, IL
National Provider Identifier
1851847313
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2016030308 Issued in MO
Practice address
901 Medical Park Dr FL 1
Effingham, IL 62401-2191
Phone
(217) 347-3003
NPI assigned
Aug 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.011566 IL
Occupational Therapist 225X00000X 2016030308 MO Primary

Addresses

Primary practice location

901 Medical Park Dr FL 1
Effingham, IL 62401-2191

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Other practice location 1

1201 Ricker Rd # Drivea
Salem, IL 62881-4263
Phone (217) 347-3003

Other practice location 2

1054 M L King Dr Ste 124
Centralia, IL 62801-3065
Phone (217) 347-3003

Other practice location 3

9515 Holy Cross Ln Ste 2
Breese, IL 62230-3618
Phone (217) 347-3003

Other names 1

  • Jenna Ruholl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170501001966 IL Practitioner - Occupational Therapist in Private Practice 6406133461 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1000 Health Ctr Dr
Mattoon, IL 61938-4644

101 Professional PLZ
Mattoon, IL 61938-9252
Phone (217) 238-3730

1201 Ricker Rd
Salem, IL 62881-4263
Phone (217) 347-3003

9515 Holy Cross LN
Suite 2
Breese, IL 62230-3618
Phone (217) 347-3003

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.011566ILMDOccupational Therapist
2016030308MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince Nov 16, 2022 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Nov 16, 2022 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Aug 28, 2021 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Nov 16, 2022 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Nov 16, 2022 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

9515 Holy Cross Ln
Ste 2
Breese, IL 62230
Phone (217) 347-3003

1054 Martin Luther King Dr
Ste 124
Centralia, IL 62801
Phone (217) 347-3003

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

901 Medical Park Dr
Ste 100
Effingham, IL 62401
Phone (217) 347-3003

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 6

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1851847313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MEDICAL PARK DR FL 1",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012191",
            "telephone_number": "217-347-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Ricker Rd # Drivea",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "IL",
            "postal_code": "628814263",
            "country_code": "US",
            "telephone_number": "217-347-3003",
            "fax_number": "217-347-3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1054 M L King Dr Ste 124",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "IL",
            "postal_code": "628013065",
            "country_code": "US",
            "telephone_number": "217-347-3003",
            "fax_number": "217-347-3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9515 Holy Cross Ln Ste 2",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622303618",
            "country_code": "US",
            "telephone_number": "217-347-3003",
            "fax_number": "217-347-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLIE",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.011566",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2016030308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "RUHOLL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.