Jennifer Dee Allred, P.T.
Individual provider Active NPI Physical Therapist · Missoula, MT
NPI 1043307366 · NPPES record last updated Aug 1, 2019
Key facts
- NPI
- 1043307366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTP-PT-LIC-9820 (MT)
- Practice address
- 2001 S Russell St
Missoula, MT 59801-6621 - Phone
- (406) 543-7860
- Fax
- (406) 543-7862
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTP-PT-LIC-9820 | MT | MD | Physical Therapist |
| NV2075 | NV | MD | Physical Therapist |
| PT 60285144 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Element Audiology PLLC | Past |
Accepting new patients |
Specialties & licenses
| 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 | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100509577 | Medicaid | NV |
Other names
- Jennifer Dee Horinek
Other providers in Missoula, MT
- Janet R Allison
- Julia Jeanette Allison
- Orianne Allison
- David H Allmacher
- Keri F Allmacher
- Stuart W Allyn
- Alpenglow Homecare LLC
- Alpengrow Counseling & Wellness
- Alpine Start Speech Therapy, LLC
- Bodee Alt
All providers in Missoula, MT · Physical Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.