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
| License | State | Type | Specialty |
|---|---|---|---|
| 15552 | MD | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Leslie Kathleen Allen
- Leslie Ryon Allen
- Marilee Allen
- Mary Beth Allen
- Michele Sharon Allen
- Patrick Allen
- Philip O Allen Jr.
- Rachel Ann Allen
- Reginald Marcus Allen
- Ricci Allen
All providers in Baltimore, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.