Robyn Allen

Individual provider Active NPI Physical Therapy Assistant · Jasper, FL

NPI 1346908159 · NPPES record last updated Nov 30, 2021

Key facts

NPI
1346908159
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA21870 (FL)
Practice address
427 15TH Ave NW
Jasper, FL 32052-5874
Phone
(386) 792-1868
Fax
(352) 382-1146
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA21870FLMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA21870 FL Yes

Addresses

Primary practice location

427 15TH Ave NW
Jasper, FL 32052-5874

Mailing address

8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (800) 804-9961

Other providers in Jasper, FL

All providers in Jasper, FL · Physical Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.