Allison Jean Durham, P.T., D.P.T, R.N.
Individual provider Active NPI Physical Therapist · Archbold, OH
NPI 1194045484 · NPPES record last updated Jun 9, 2010
Key facts
- NPI
- 1194045484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT012828 (OH)
- Practice address
- 815 E Lutz Rd
Archbold, OH 43502-3211 - Phone
- (419) 446-9144
- Fax
- (419) 446-9146
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN318903 | OH | MD | Registered Nurse |
| PT012828 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archbold Physical Therapy Services, Inc. | Past | Accepting new patients | |
| Delta Physical Therapy and Sports Medicine, LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN318903 | OH | |
| Physical Therapist | 225100000X | PT012828 | OH | Yes |
Addresses
Primary practice location
815 E Lutz Rd
Archbold, OH 43502-3211
Mailing address
815 E Lutz Rd
Archbold, OH 43502-3211
Phone (419) 446-9144
Other providers in Archbold, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2010. 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.