Active NPI
Matthew Allard
- Physical Therapy Assistant
- Cincinnati, OH
National Provider Identifier
1790115079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 08593
- Practice address
- 700 W Pete Rose Way
#225
Cincinnati, OH 45203-1892 - Phone
- (888) 752-9640
- NPI assigned
- Nov 22, 2013
- Last updated
- Nov 22, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 08593 | OH | Primary |
Addresses
Primary practice location
700 W Pete Rose Way
#225
Cincinnati, OH 45203-1892
Mailing address
3957 National Rd
Clayton, OH 45315-8798
Phone (937) 974-2216
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 |
|---|---|---|---|
| 08593 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1790115079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3957 NATIONAL RD",
"city": "CLAYTON",
"state": "OH",
"postal_code": "453158798",
"telephone_number": "937-974-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W PETE ROSE WAY",
"address_2": "#225",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452031892",
"telephone_number": "888-752-9640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLARD",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-22",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "08593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.