Individual provider Active NPI

Joanne F Allen, LPT

  • Physical Medicine & Rehabilitation Physician
  • Wilkes-Barre Township, PA
National Provider Identifier
1477656387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT005916L Issued in PA
Practice address
268 Highland Park Boulevard
Wilkes-Barre Township, PA 18702
Phone
(570) 822-8831
Fax
(570) 820-7740
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT005916L PA Primary

Addresses

Primary practice location

268 Highland Park Boulevard
Wilkes-Barre Township, PA 18702

Mailing address

268 Highland Park Boulevard
Wilkes-Barre Township, PA 18702
Phone (570) 822-8831

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

LicenseStateTypeSpecialty
PT005916LPAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477656387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 HIGHLAND PARK BOULEVARD",
            "city": "WILKES-BARRE TOWNSHIP",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-822-8831",
            "fax_number": "570-820-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 HIGHLAND PARK BOULEVARD",
            "city": "WILKES-BARRE TOWNSHIP",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-822-8831",
            "fax_number": "570-820-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JOANNE",
        "middle_name": "F",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT005916L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes-Barre Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.