Jeffery David Allen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005549 Issued in MI

Practice address

321 Pettibone St
Suite 104
South Lyon, MI 48178-1220

Phone

(248) 437-2322

Fax

(248) 437-2433

NPI assigned

Sep 21, 2006

Last updated

Nov 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Wayne State University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allen Physical Therapy Novi LLCGroup PAC ID 3072923929, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Clisch, DPT

  • Physical Therapist
  • Royal Oak, MI
  • NPI 1841745940
  Medicare reassignment
• John Davis, PT, DPT

  • Physical Therapist
  • Flint, MI
  • NPI 1134759533
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allen Physical Therapy Novi LLC

  • Physical Therapist
  • Novi, MI
  • NPI 1538767728
  Medicare reassignment Care Compare group NPD
• Allen Physical Therapy

  • Physical Therapist
  • South Lyon, MI
  • NPI 1265602817
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1285733089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 PETTIBONE ST",
            "address_2": "SUITE 104",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781220",
            "telephone_number": "248-437-2322",
            "fax_number": "248-437-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 PETTIBONE ST",
            "address_2": "SUITE 104",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781220",
            "telephone_number": "248-437-2322",
            "fax_number": "248-437-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JEFFERY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Teaching Concepts, Inc.
• Zainab Agbaje, DO
• Mahem Akhtar, M.D.
• Lavanya Alapati
• Allen Physical Therapy
• Rhonda L Allen
• Samuel Edward Allen, D.D.S.
• Alleready Foods, L.L.C.
• Melissa Anderson, ATC
• Chelsea Anthony, MA, RDN

• Physical Therapist in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.