Allison Baran Wilson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.007741 Issued in IL

Practice address

820 S Damen Ave
Chicago, IL 60612-3728

Phone

(312) 569-6401

NPI assigned

Sep 12, 2023

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 names 1

• Allison Rae Baran Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1194502179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 W BRADLEY PL APT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123728",
            "telephone_number": "312-569-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALLISON",
        "middle_name": "BARAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.007741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "BARAN",
            "middle_name": "RAE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Iris Marie Wilson-Farley
• Alicia Ann Wilson-Thomas, NCC, LCPC
• Adrienne Ashley Wilson, M.D.
• Alan M. Wilson, MD
• Alisha Rose Wilson, APN
• Alyssa Rosemarie Wilson, M.A.
• Andrea Wilson
• Anica Wilson
• Antenesha Wilson
• Arianne Wilson, MD

• Physical Therapy Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.