Allyn A Dawson, RPT
Individual provider Active NPI Physical Therapist · Melissa, TX
NPI 1144577271 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1144577271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1387002 (TX)
- Practice address
- 1410 Birchwood LN
Melissa, TX 75454-2271 - Phone
- (619) 303-1459
- NPI assigned
- Aug 8, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1387002 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1387002 | TX | Yes |
| Physical Therapist | 225100000X | 36416 | CA |
Addresses
Primary practice location
1410 Birchwood LN
Melissa, TX 75454-2271
Mailing address
1410 Birchwood LN
Melissa, TX 75454-2271
Phone (619) 303-1459
Other providers in Melissa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.