Individual provider Active NPI

Alecia B Allen, PT

  • Physical Therapist
  • Farragut, TN
National Provider Identifier
1174839633
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3763 Issued in TN
Practice address
631 N Campbell Station Rd Ste 1600
Farragut, TN 37934-1628
Phone
(865) 777-0367
Fax
(865) 777-0562
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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 PT3763 TN Primary

Addresses

Primary practice location

631 N Campbell Station Rd Ste 1600
Farragut, TN 37934-1628

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

311 Congress Pkwy N Ste 800
Athens, TN 37303-1697
Phone (423) 744-0890

Other identifiers 1

IdentifierTypeStateIssuer
4276750OtherTNBLUE CROSS BLUE SHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203000830 TN Practitioner - Physical Therapist in Private Practice 5193912079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Provision Physical TherapyGroup PAC ID 4082809603, 4 clinicians

Practice addresses (Care Compare)

1400 Dowell Springs Blvd
Suite 120
Knoxville, TN 37909-2450
Phone (865) 898-7901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3763TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy Physical Therapist CurrentSince Jul 6, 2018 Accepting new patients
Forward Physical Therapy,LLC CurrentSince Jul 17, 2012 Accepting new patients
Provision Physical Therapy CurrentSince Aug 9, 2021 Accepting new patients
Knox Physical Therapy, LLC Physical Therapist PastSince Apr 8, 2024 Accepting new patients
Therapy Center Inc Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

9215 Middlebrook Pike
Ste 400
Knoxville, TN 37931
Phone (865) 357-5088

465 N Park 40 Blvd
Knoxville, TN 37923
Phone (865) 357-5088

1400 Dowell Springs Blvd
Ste 120
Knoxville, TN 37909
Phone (865) 232-1415

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

7555 Barnett Way
Powell, TN 37849
Phone (865) 938-3556

Organizations & group practices 6

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": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1174839633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N CAMPBELL STATION RD STE 1600",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379341628",
            "telephone_number": "865-777-0367",
            "fax_number": "865-777-0562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Congress Pkwy N Ste 800",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "373031697",
            "country_code": "US",
            "telephone_number": "423-744-0890",
            "fax_number": "423-744-0849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ALECIA",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT3763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "4276750",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farragut, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.