Active NPI
Allison C. Kloehs, PT
- Physical Therapist
- Tyrone, GA
National Provider Identifier
1205915907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- GA005883
- Practice address
- 100 Millbrook Village Dr
Suite C
Tyrone, GA 30290-3603 - Phone
- (678) 364-9412
- Fax
- (678) 364-9413
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | GA005883 | GA | Primary |
Addresses
Primary practice location
100 Millbrook Village Dr
Suite C
Tyrone, GA 30290-3603
Mailing address
100 Millbrook Village Dr
Suite C
Tyrone, GA 30290-3603
Phone (678) 364-9412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA005883 | Other | GA | STATE LISC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA005883 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1205915907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MILLBROOK VILLAGE DR",
"address_2": "SUITE C",
"city": "TYRONE",
"state": "GA",
"postal_code": "302903603",
"telephone_number": "678-364-9412",
"fax_number": "678-364-9413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MILLBROOK VILLAGE DR",
"address_2": "SUITE C",
"city": "TYRONE",
"state": "GA",
"postal_code": "302903603",
"telephone_number": "678-364-9412",
"fax_number": "678-364-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOEHS",
"first_name": "ALLISON",
"middle_name": "C.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "GA005883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISC NUMBER",
"identifier": "GA005883",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.