Active NPI
John Tanner Allen, PT,DPT
- Physical Therapist
- Palm Beach Gardens, FL
National Provider Identifier
1053959130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT35395
- Practice address
- 12823 Woodmill Dr
Palm Beach Gardens, FL 33418-8945 - Phone
- (229) 740-3484
- NPI assigned
- Dec 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT35395 | FL | Primary |
Addresses
Primary practice location
12823 Woodmill Dr
Palm Beach Gardens, FL 33418-8945
Mailing address
12823 Woodmill Dr
Palm Beach Gardens, FL 33418-8945
Phone (229) 740-3484
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT35395 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1053959130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12823 WOODMILL DR",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334188945",
"telephone_number": "229-740-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12823 WOODMILL DR",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334188945",
"telephone_number": "229-740-3484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JOHN",
"middle_name": "TANNER",
"name_prefix": "Dr.",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-19",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT35395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.