Provider Demographics
NPI:1811611239
Name:JOHNS, ALLISON S (OTR/L)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:S
Last Name:JOHNS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 SW SUMMIT WOODS DR APT 11
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1472
Mailing Address - Country:US
Mailing Address - Phone:417-840-2856
Mailing Address - Fax:
Practice Address - Street 1:634 SW MULVANE ST STE 404
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1678
Practice Address - Country:US
Practice Address - Phone:785-295-8045
Practice Address - Fax:785-231-5903
Is Sole Proprietor?:No
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-04016225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS17-04016OtherKANSAS STATE BOARD OF HEALING ARTS
MO2022003457OtherMISSOURI BOARD OF OCCUPATIONAL THERAPY