Active NPI
Jenna Allie
- Occupational Therapist
- Effingham, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2016030308
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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
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 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.011566 | IL | MD | Occupational Therapist |
| 2016030308 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Wellness Kansas City, LLC | Occupational Therapist | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Empowerme Rehabilitation Illinois, LLC | Occupational Therapist | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Illinois, LLC | Occupational Therapist | Current | 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.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Occupational Therapist
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
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.