Active NPI
Jennifer Lee Allen, PT
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1619084118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5251
- Practice address
- 3124 N Swan Rd
Tucson, AZ 85712-1227 - Phone
- (520) 325-4002
- Fax
- (520) 325-4227
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5251 | AZ | Primary |
Addresses
Primary practice location
3124 N Swan Rd
Tucson, AZ 85712-1227
Mailing address
3124 N Swan Rd
Tucson, AZ 85712-1227
Phone (520) 325-4002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630683 | Medicaid | AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5251 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Physical Therapy, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1407851322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1619084118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3124 N SWAN RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121227",
"telephone_number": "520-325-4002",
"fax_number": "520-325-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3124 N SWAN RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121227",
"telephone_number": "520-325-4002",
"fax_number": "520-325-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JENNIFER",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630683",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.