Active NPI
Bryan Jeffrey Allen, L.M.T
- Personal Care Attendant
- Pensacola, FL
National Provider Identifier
1518378595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 100094054
- Practice address
- 209 Betty Rd
Pensacola, FL 32507-2307 - Phone
- (850) 293-3000
- NPI assigned
- May 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA74015 | FL | |
| Personal Care Attendant | 3747P1801X | 100094054 | FL | Primary |
Addresses
Primary practice location
209 Betty Rd
Pensacola, FL 32507-2307
Mailing address
209 Betty Rd
Pensacola, FL 32507-2307
Phone (850) 293-3000
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA74015 | FL | MD | Massage Therapist |
| 100094054 | FL | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1518378595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 BETTY RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325072307",
"telephone_number": "850-293-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 BETTY RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325072307",
"telephone_number": "850-293-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "BRYAN",
"middle_name": "JEFFREY",
"credential": "L.M.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA74015",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "FL",
"license": "100094054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.