Active NPI
Sandra Jeanne Allen, OT
- Occupational Therapist
- Ashland, KY
National Provider Identifier
1861014722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 134295
- Practice address
- 2700 Greenup Ave
Ashland, KY 41101-1953 - Phone
- (606) 324-0540
- Fax
- (606) 324-0616
- NPI assigned
- May 14, 2020
- Last updated
- May 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 134295 | KY | Primary |
| Hand Occupational Therapist | 225XH1200X | 134295 | KY |
Addresses
Primary practice location
2700 Greenup Ave
Ashland, KY 41101-1953
Mailing address
2700 Greenup Ave
Ashland, KY 41101-1953
Phone (606) 324-0540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0853 | Other | KY | OT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | billing@tristaterehab.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134295 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1861014722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 GREENUP AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411011953",
"telephone_number": "606-324-0540",
"fax_number": "606-324-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 GREENUP AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411011953",
"telephone_number": "606-324-0540",
"fax_number": "606-324-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "SANDRA",
"middle_name": "JEANNE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "134295",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "KY",
"license": "134295",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "R0853",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "billing@tristaterehab.com",
"affiliation": "N",
"endpointDescription": "Administrative office",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2700 Greenup Ave",
"city": "Ashland",
"state": "KY",
"country_code": "US",
"postal_code": "411011953",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.