Patricia Allen

Individual provider Active NPI Physical Therapist · Baltimore, MD

NPI 1679270201 · NPPES record last updated Feb 14, 2023

Key facts

NPI
1679270201
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
15552 (MD)
Practice address
22 S Athol Ave
Baltimore, MD 21229-3405
Phone
(410) 739-3315
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
15552MDMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15552 MD Yes

Addresses

Primary practice location

22 S Athol Ave
Baltimore, MD 21229-3405

Mailing address

22 S Athol Ave
Baltimore, MD 21229-3405
Phone (410) 947-3052

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2023.

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1679270201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S ATHOL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293405",
            "telephone_number": "410-947-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S ATHOL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293405",
            "telephone_number": "410-739-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

All providers in Baltimore, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.