Chad M Allred, PT
Individual provider Active NPI Physical Therapist · Orem, UT
NPI 1477567501 · NPPES record last updated Oct 8, 2007
Key facts
- NPI
- 1477567501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3778312401 (UT)
- Practice address
- 331 N 400 W
Orem, UT 84057-1913 - Phone
- (801) 224-4080
- Fax
- (801) 226-7831
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070822001594 | UT | Practitioner - Physical Therapist in Private Practice | 2264524123 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3778312401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Physical Therapist | Current |
Accepting new patients |
Locations
98 N 1100 E
Ste 402
American Fork, UT 84003
Phone (801) 492-2320
331 N 400 W
Orem, UT 84057
Phone (801) 224-4080
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3778312401 | UT | Yes |
Addresses
Primary practice location
331 N 400 W
Orem, UT 84057-1913
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Phone (801) 357-7475
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3778312401 | Other | UT | UTAH STATE LICENSE |
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.