Lauretta Allen, RPT, DPT, CFP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14979 Issued in CA

Practice address

2600 Newburg Rd
Fortuna, CA 95540-2536

Phone

(707) 725-6995

Fax

(707) 725-9152

NPI assigned

May 4, 2015

Last updated

Apr 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1508243072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 DEAN ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013209",
            "telephone_number": "707-443-8354",
            "fax_number": "707-443-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NEWBURG RD",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402536",
            "telephone_number": "707-725-6995",
            "fax_number": "707-725-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LAURETTA",
        "credential": "RPT, DPT, CFP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14979",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MP",
            "license": "PT0009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agape Doula Services LLC
• Adalizette Aguilar
• Akinlosotu Nursing Anesthesia Inc
• Deji Akinlosotu, CRNA
• Alan E. French (Fortuna Optometry)
• Barbara Nettles Anderson, MA
• James McCall Anderson, M.D.
• Jane Scott Anderson, MFT
• Stefanie Ellen Anderson, LMFT
• John Richard Aragon, D.D.S.

• Physical Therapist in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.