Michele Allen
Individual provider Active NPI Physical Therapy Assistant · Fort Campbell, KY
NPI 1801765656 · NPPES record last updated Oct 31, 2025
Key facts
- NPI
- 1801765656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA0000005499 (TN)
- Practice address
- 5979 Desert Storm Ave
Fort Campbell, KY 42223-5514 - Phone
- (910) 580-1400
- NPI assigned
- Oct 31, 2025
- 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 |
|---|---|---|---|
| PTA0000005499 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA0000005499 | TN | Yes |
Addresses
Primary practice location
5979 Desert Storm Ave
Fort Campbell, KY 42223-5514
Mailing address
7360B Hines Ave
Fort Campbell, KY 42223-3202
Phone (910) 580-1400
Other providers in Fort Campbell, KY
- Richard C Ales
- Glenn Alexander
- Affi Allado-Anka
- Desiree Allen
- Linda Allen
- Taylor Joseph Allen
- Toni Gail Allinder
- Roland Alonzo
- Christopher Alviar
- Jared Ambrose
All providers in Fort Campbell, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2025. 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.