Chandra Allen, LPTA
Individual provider Active NPI Physical Therapy Assistant · Hurst, TX
NPI 1477967339 · NPPES record last updated Jun 18, 2014
Key facts
- NPI
- 1477967339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2079551 (TX)
- Practice address
- 305 NE Loop 280
Business Tower 1 Suite 200
Hurst, TX 76053 - Phone
- (817) 292-8787
- Fax
- (817) 789-6849
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2079551 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2079551 | TX | Yes |
Addresses
Primary practice location
305 NE Loop 280
Business Tower 1 Suite 200
Hurst, TX 76053
Mailing address
5712 Kayview Dr
Austin, TX 78749-2874
Phone (512) 796-6868
Other providers in Hurst, TX
- Ladislao Aguilar
- Markina Ako-Brew
- Adekolapo O Alade
- Albertsons LLC
- Anita Alejandro
- Travis Allison
- Alpha Hyperbarics PLLC
- Alpha Omega Hospice, LLC
- Nathalie Altamirano
- Abygail Alvarado
All providers in Hurst, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.