Active NPI
Allison Hubert, LOTR
- Occupational Therapist
- Fort Wainwright, AK
National Provider Identifier
1952720898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2786
- Practice address
- 3410 Rhineland Ave
RM 108
Fort Wainwright, AK 99703 - Phone
- (907) 353-5871
- NPI assigned
- Apr 8, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2786 | AK | Primary |
Addresses
Primary practice location
3410 Rhineland Ave
RM 108
Fort Wainwright, AK 99703
Mailing address
630 Ursa Major Dr
North Pole, AK 99705-5080
Phone (907) 371-8621
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 |
|---|---|---|---|
| 2786 | AK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1952720898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 URSA MAJOR DR",
"city": "NORTH POLE",
"state": "AK",
"postal_code": "997055080",
"telephone_number": "907-371-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 RHINELAND AVE",
"address_2": "RM 108",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "99703",
"telephone_number": "907-353-5871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBERT",
"first_name": "ALLISON",
"credential": "LOTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "2786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.