Active NPI
Jennifer Dee Allred, P.T.
- Physical Therapist
- Missoula, MT
National Provider Identifier
1043307366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTP-PT-LIC-9820
- Practice address
- 2001 S Russell St
Missoula, MT 59801-6621 - Phone
- (406) 543-7860
- Fax
- (406) 543-7862
- NPI assigned
- Oct 6, 2006
- Last updated
- Aug 1, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NV2075 | NV | |
| Physical Therapist | 225100000X | PT 60285144 | WA | |
| Physical Therapist | 225100000X | PTP-PT-LIC-9820 | MT | Primary |
Addresses
Primary practice location
2001 S Russell St
Missoula, MT 59801-6621
Mailing address
2001 S Russell St
Missoula, MT 59801-6621
Phone (406) 543-7860
Other practice location 1
1750 112th Ave NE Bldg 4
Ste E175
Bellevue, WA 98004-3752
Phone (425) 289-0381
Other names 1
- Jennifer Dee Horinek
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 |
|---|---|---|---|
| PT 60285144 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Element Audiology PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Missoula, MT
- NPI 1285397364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1043307366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S RUSSELL ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016621",
"telephone_number": "406-543-7860",
"fax_number": "406-543-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S RUSSELL ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016621",
"telephone_number": "406-543-7860",
"fax_number": "406-543-7862"
}
],
"practiceLocations": [
{
"address_1": "1750 112th Ave NE Bldg 4",
"address_2": "Ste E175",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980043752",
"country_code": "US",
"telephone_number": "425-289-0381",
"fax_number": "425-289-0387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLRED",
"first_name": "JENNIFER",
"middle_name": "DEE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "NV2075",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT 60285144",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "PTP-PT-LIC-9820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HORINEK",
"middle_name": "DEE",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.