Jimmie Paul Allen, DPT
Individual provider Active NPI Physical Therapist · Mountain Green, UT
NPI 1285069005 · NPPES record last updated Sep 11, 2013
Key facts
- NPI
- 1285069005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 281326-2401 (UT)
- Practice address
- 4223 Iris Ave
Mountain Green, UT 84050-9738 - Phone
- (801) 589-9290
- NPI assigned
- Sep 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281326-2401 | UT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 281326-2401 | UT | Yes |
Addresses
Primary practice location
4223 Iris Ave
Mountain Green, UT 84050-9738
Mailing address
4223 Iris Ave
Mountain Green, UT 84050-9738
Phone (801) 589-9290
Other providers in Mountain Green, UT
- Amy Peters Therapy Services LLC
- Badger Management LLC
- Royce Baird Bartholomew
- Melanie Brenchley
- Cloud Nine Sedations
All providers in Mountain Green, UT · Physical Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2013. 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.