Jacquelyn Leah Garrett Allen, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5983 Issued in AZ

Practice address

682 W. School Bus Lane
Snowflake, AZ 85937-5262

Phone

(928) 607-7831

NPI assigned

Jul 2, 2007

Last updated

Aug 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacquelyn Leah Garrett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Snowflake School District

  • Local Education Agency (LEA)
  • Snowflake, AZ
  • NPI 1326123720
  NPD (past) Authorized official
• Snowflake Unified School District #5

  • Local Education Agency (LEA)
  • Snowflake, AZ
  • NPI 1164575650
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1104023126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 W. SCHOOL BUS LANE",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375262",
            "telephone_number": "928-536-4156",
            "fax_number": "928-536-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 W. SCHOOL BUS LANE",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375262",
            "telephone_number": "928-607-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT ALLEN",
        "first_name": "JACQUELYN",
        "middle_name": "LEAH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "877516",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "GARRETT",
            "middle_name": "LEAH",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Don Shumway D P M PC
• Eagledancer Youth and Family Services, Inc.
• Lorraine Ferrante, IBCLC, BSW, LPN, DEM
• James Scott Flake, SCHOOL PSYCHOLOGIST
• Connie Kaye Gardner, M.S.
• Gary D. Goodwin, LCSW
• Gwendolyn Lee Hall CNM Inc (Snowflake Heber Women's Clinic)
• Gwendolyn Lee Hall, CNM (Snowflake/Heber Women's Clinic)
• Wendy Lee Hall, CNM
• Michelle Hardesty, FAMILY NURSE PRACTIT

• Physical Therapist in Snowflake, AZ
• Providers in Snowflake, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.