Individual provider Active NPI

Jennifer Dawn Allen, PT, ATC

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1043323884
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4254 Issued in AZ
Practice address
University of Arizona Athletic Treatment Ctr
McKale Center RM. N108
Tucson, AZ 85721-0001
Phone
(520) 621-9169
Fax
(520) 621-8771
NPI assigned
Aug 16, 2006
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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 LPT-004254 AZ
Physical Therapist 225100000X 4254 AZ Primary
Athletic Trainer 2255A2300X 0206 AZ

Addresses

Primary practice location

University of Arizona Athletic Treatment Ctr
McKale Center RM. N108
Tucson, AZ 85721-0001

Mailing address

PO Box 43978
Tucson, AZ 85733-3978
Phone (520) 954-7991

Other practice location 1

6011 N Oracle Rd Ste 151
Tucson, AZ 85704-5309
Phone (520) 561-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810003375 AZ Practitioner - Physical Therapist in Private Practice 8527462712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio Shop Tucson LLCGroup PAC ID 7315477460, 12 clinicians

Practice addresses (Care Compare)

6011 N Oracle Rd
Suite 151
Tucson, AZ 85704-5309
Phone (520) 561-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-004254AZMDPhysical Therapist
0206AZMDAthletic Trainer
4254AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Physio Shop LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Physio Shop Tucson LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Physio Shop Flagstaff LLC Physical Therapist CurrentSince Oct 6, 2024 Accepting new patients
The University of Arizona, Campus Health Service Past Accepting new patients

Locations

1510 S Riordan Ranch St
Flagstaff, AZ 86001
Phone (928) 214-7303

6011 N Oracle Rd
#151
Tucson, AZ 85704
Phone (520) 561-0101

6011 N Oracle Rd
Ste 151
Tucson, AZ 85704
Phone (520) 561-0101

Organizations & group practices 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1043323884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43978",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333978",
            "telephone_number": "520-954-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF ARIZONA ATHLETIC TREATMENT CTR",
            "address_2": "MCKALE CENTER RM. N108",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210001",
            "telephone_number": "520-621-9169",
            "fax_number": "520-621-8771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6011 N Oracle Rd Ste 151",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857045309",
            "country_code": "US",
            "telephone_number": "520-561-0101",
            "fax_number": "520-844-6414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-004254",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4254",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.