Active NPI
Tamala A. Allen, L.M.T.
- Massage Therapist
- Pensacola, FL
National Provider Identifier
1063958619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 62968
- Practice address
- 1720 W Fairfield Drive
312
Pensacola, FL 32501-1052 - Phone
- (850) 426-4158
- NPI assigned
- Jan 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 62968 | FL | Primary |
| Massage Therapist | 225700000X | MM 27552 | FL |
Addresses
Primary practice location
1720 W Fairfield Drive
312
Pensacola, FL 32501-1052
Mailing address
1720 W Fairfield Dr
312
Pensacola, FL 32501-1052
Phone (850) 426-4158
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 |
|---|---|---|---|
| MA 62968 | FL | MD | Massage Therapist |
| MM 27552 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1063958619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 W FAIRFIELD DR",
"address_2": "312",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011052",
"telephone_number": "850-426-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 W FAIRFIELD DRIVE",
"address_2": "312",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011052",
"telephone_number": "850-426-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "TAMALA",
"middle_name": "A.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-06",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 62968",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MM 27552",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.