Individual provider Active NPI

Jonathan P Allen, DPT

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1093066201
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24205 Issued in MD
Practice address
6710A Rockledge Dr Ste 130
Bethesda, MD 20817-2843
Phone
(301) 515-0900
Fax
(240) 912-2381
NPI assigned
Sep 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24205 MD Primary

Addresses

Primary practice location

6710A Rockledge Dr Ste 130
Bethesda, MD 20817-2843

Mailing address

6710A Rockledge Dr Ste 130
Bethesda, MD 20817-2843
Phone (301) 515-0900

Other practice location 1

1360 Blair Dr
Suite D
Odenton, MD 21113-1343
Phone (410) 672-8970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121116000107 DC Practitioner - Physical Therapist in Private Practice 5698926038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

19847 Century Blvd
Suite 205
Germantown, MD 20874-7204
Phone (301) 515-0900

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24205MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 27, 2015 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 27, 2015 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Maximum Performance Physical Therapy, Inc Physical Therapist Past Accepting new patients

Locations

6710A Rockledge Dr
Ste 130
Bethesda, MD 20817
Phone (301) 515-0900

6430 Rockledge Dr
Ste 510
Bethesda, MD 20817
Phone (240) 912-2213

19847 Century Blvd
Ste 205
Germantown, MD 20874
Phone (240) 912-2206

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1093066201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710A ROCKLEDGE DR STE 130",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172843",
            "telephone_number": "301-515-0900",
            "fax_number": "240-912-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710A ROCKLEDGE DR STE 130",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172843",
            "telephone_number": "301-515-0900",
            "fax_number": "240-912-2381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Blair Dr",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131343",
            "country_code": "US",
            "telephone_number": "410-672-8970",
            "fax_number": "410-672-8973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-27",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.