Individual provider Active NPI

Jennifer Dee Allred, P.T.

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1043307366
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-9820 Issued in MT
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
PT 60285144WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Element Audiology PLLC PastSince Oct 17, 2021 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.

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.

Verify at the official NPI Registry.