Ian M Allen, DPT
Individual provider Active NPI Physical Therapist · Fort Stewart, GA
NPI 1821546771 · NPPES record last updated Sep 20, 2016
Key facts
- NPI
- 1821546771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1061 Harmon Ave
Fort Stewart, GA 31314-5641 - Phone
- (912) 435-6780
- NPI assigned
- Sep 20, 2016
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Mailing address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (912) 435-6780
Other providers in Fort Stewart, GA
- Edward Alcazar-Lopez
- Ralinson Alcius
- Marie Alexandra Alexander
- Adrienne Brentzel Allen
- Elizabeth Sue Allen
- Jacqueline Danielle Allen
- Kathleen Shea Allen
- Natalie Y Allen
- Stephen Allen
- Natalie Cowell Almonte
All providers in Fort Stewart, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2016. 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.