Active NPI
Jan Mixson Allen, PT
- Physical Therapist
- Yorktown, VA
National Provider Identifier
1316930852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305003533
- Practice address
- 3540 Victory Blvd
Yorktown, VA 23693-3641 - Phone
- (757) 776-0736
- NPI assigned
- Aug 30, 2005
- Sex
- Female
- 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 | 2305003533 | VA | Primary |
Addresses
Primary practice location
3540 Victory Blvd
Yorktown, VA 23693-3641
Mailing address
404 Tabb Lakes Dr
Yorktown, VA 23693-4118
Phone (757) 619-7241
Other practice location 1
92 Mdos/Sgomy
701 Hospital Loop
Fairchild AFB, WA 99011
Phone (509) 247-8481
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305003533 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1316930852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 TABB LAKES DR",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236934118",
"telephone_number": "757-619-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 VICTORY BLVD",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236933641",
"telephone_number": "757-776-0736"
}
],
"practiceLocations": [
{
"address_1": "92 MDOS/SGOMY",
"address_2": "701 Hospital Loop",
"address_purpose": "LOCATION",
"city": "Fairchild AFB",
"state": "WA",
"postal_code": "99011",
"country_code": "US",
"telephone_number": "509-247-8481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "JAN",
"middle_name": "MIXSON",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305003533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.