Individual provider Active NPI

Allison Blouin, DPT

  • Physical Therapist
  • Enterprise, AL
National Provider Identifier
1316796386
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11796 Issued in AL
Practice address
100 Professional LN Ste B
Enterprise, AL 36330-2392
Phone
(334) 393-7500
Fax
(334) 393-7505
NPI assigned
May 14, 2024
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH11796 AL Primary

Addresses

Primary practice location

100 Professional LN Ste B
Enterprise, AL 36330-2392

Mailing address

100 Professional LN Ste B
Enterprise, AL 36330-2392
Phone (334) 393-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531000676 AL Practitioner - Physical Therapist in Private Practice 0648612952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH11796ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enterprise Therapy Center LLC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Enterprise Open MRI, LLC PastSince May 19, 2024 Accepting new patients

Locations

100 Professional Ln
Ste B
Enterprise, AL 36330
Phone (334) 308-1524

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1316796386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL LN STE B",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302392",
            "telephone_number": "334-393-7500",
            "fax_number": "334-393-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL LN STE B",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302392",
            "telephone_number": "334-393-7500",
            "fax_number": "334-393-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUIN",
        "first_name": "ALLISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.