Angela Marlene Allen, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

T-04976 Issued in KS

Practice address

1311 Wakarusa Dr Ste 1000
Lawrence, KS 66049-1741

Phone

(785) 749-1300

Fax

(785) 749-4746

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2018.

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1639655228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR STE 1000",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491741",
            "telephone_number": "785-749-1300",
            "fax_number": "785-749-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR STE 1000",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491741",
            "telephone_number": "785-749-1300",
            "fax_number": "785-749-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANGELA",
        "middle_name": "MARLENE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "T-04976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malindi Lynn Alexander, OT
• Melea Britt Alexander, L.AC.
• Susie Alexander, M.D.
• Tifany Alexander
• Shane Jay Alford, PA
• Kristen Allen, PA-C
• Allie'S Village Memory Care Homes, LLC
• Jessica Lynn Allison, LSESW
• Amalia Almeida, APRN
• Alpha Recovery Center, LLC

• All providers in Lawrence, KS
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.