Individual provider Active NPI

Jessica Allen, DPT

  • Physical Therapist
  • Dunnellon, FL
National Provider Identifier
1255009148
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37779 Issued in FL
Practice address
20056 E Pennsylvania Ave Unit 2
Dunnellon, FL 34432-6069
Phone
(352) 462-7171
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
No

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37779FLMDPhysical Therapist

Networks

  • Freedom Health HMO Network

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 37779 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

20056 E Pennsylvania Ave Unit 2
Dunnellon, FL 34432-6069

Mailing address

8860 E Rosemont St
Inverness, FL 34450-7372
Phone (813) 909-6193

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2021.

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1255009148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 E ROSEMONT ST",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344507372",
            "telephone_number": "813-909-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20056 E PENNSYLVANIA AVE UNIT 2",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344326069",
            "telephone_number": "352-462-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.