Mark Boone Allen, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22591 Issued in CA

Practice address

15825 Laguna Canyon Rd Ste 103
Irvine, CA 92618-2126

Phone

(949) 861-4108

Fax

(949) 861-4109

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OrthowestGroup PAC ID 3072932623, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.allen.p46@direct.newportmed.nextgenshare.com
• Direct secure messaging: mark.allen.p38@direct.newportmed.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark Allen Physical Therapy, a Professional Corporation

  • Physical Therapist
  • Yorba Linda, CA
  • NPI 1891176103

  CA, Physical Therapist

  Medicare reassignment NPD Authorized official
• Orthowest

  • Orthopaedic Surgery Physician
  • Laguna Woods, CA
  • NPI 1760007330

  CA

  Medicare reassignment Care Compare group NPD
• Orthowest

  • Orthopaedic Surgery Physician
  • Los Alamitos, CA
  • NPI 1487246732
  NPD
• Orthowest

  • Durable Medical Equipment & Medical Supplies
  • Fountain Valley, CA
  • NPI 1497356489
  NPD
• Caduceus Physicians Medical Group

  • Family Medicine Physician
  • Yorba Linda, CA
  • NPI 1497702724

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497896054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SAN ANTONIO RD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867811",
            "telephone_number": "949-470-0303",
            "fax_number": "949-470-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 LAGUNA CANYON RD STE 103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182126",
            "telephone_number": "949-861-4108",
            "fax_number": "949-861-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MARK",
        "middle_name": "BOONE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allcare Homecare LLC
• Rebecca Allein, LMFT
• Cassidy Renee Allen
• Elizabeth Victoria Allen
• Makayla Allen
• Allergy and Asthma Clinics of Orange County
• Alliance Healthcare Services Inc
• Alliance Home Health, Inc.
• Alliance Psychiatric Group Inc a Medical Corporation
• Allo-Jite, LLC

• All providers in Irvine, CA
• Physical Therapist in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.