Active NPI
Allen Co, P.T.
- Physical Therapist
- Clovis, CA
National Provider Identifier
1306029111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34282
- Practice address
- 221 W Fir Ave
Suite 105
Clovis, CA 93611-0221 - Phone
- (559) 325-3444
- Fax
- (559) 325-7444
- NPI assigned
- Dec 14, 2007
- Last updated
- Dec 14, 2007
- Sex
- Male
- 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 | PT34282 | CA | Primary |
Addresses
Primary practice location
221 W Fir Ave
Suite 105
Clovis, CA 93611-0221
Mailing address
221 W Fir Ave
Suite 105
Clovis, CA 93611-0221
Phone (559) 325-3444
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 |
|---|---|---|---|
| PT34282 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1306029111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W FIR AVE",
"address_2": "SUITE 105",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936110221",
"telephone_number": "559-325-3444",
"fax_number": "559-325-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W FIR AVE",
"address_2": "SUITE 105",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936110221",
"telephone_number": "559-325-3444",
"fax_number": "559-325-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CO",
"first_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-14",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT34282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
- Clovis Medical Group Inc
- Clovis Pediatric Group
- Clovis Skilled Care LLC
- Clovis Urgent Care Medical Center (Quantum Healthcare Medical Associates Inc)
- Allen O Clyde, D.P.M.
- Coast to Valley Marriage & Family Therapy Professional Corporation
- Kimberlee Lynne Cobarruvias
- Gabrielle Codianni-Reta, CMT
- Redentor Codilla Jr.
- Rhelma Codilla, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.