Active NPI
Katelynn Allen, D.P.T.
- Physical Therapist
- San Francisco, CA
National Provider Identifier
1225572662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT292484
- Practice address
- 4200 18TH St
San Francisco, CA 94114-2470 - Phone
- (415) 626-1929
- NPI assigned
- Dec 5, 2016
- 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 | PT292484 | CA | Primary |
Addresses
Primary practice location
4200 18TH St
San Francisco, CA 94114-2470
Mailing address
4200 18TH St Ste 102
San Francisco, CA 94114-2449
Phone (415) 626-1929
Other practice location 1
421 Miller Ave
Mill Valley, CA 94941
Phone (415) 388-8166
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 |
|---|---|---|---|
| PT292484 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1225572662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 18TH ST STE 102",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142449",
"telephone_number": "415-626-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 18TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142470",
"telephone_number": "415-626-1929"
}
],
"practiceLocations": [
{
"address_1": "421 Miller Ave",
"address_purpose": "LOCATION",
"city": "Mill Valley",
"state": "CA",
"postal_code": "94941",
"country_code": "US",
"telephone_number": "415-388-8166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "KATELYNN",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-05",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT292484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.