Individual provider Active NPI

Allison N Donlan, DPT

  • Physical Therapist
  • Lacey, WA
National Provider Identifier
1821580473
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61063055 Issued in WA
Practice address
4631 Whitman LN SE Ste D
Lacey, WA 98513-2250
Phone
(360) 338-0181
Fax
(360) 338-0257
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61063055 WA Primary

Addresses

Primary practice location

4631 Whitman LN SE Ste D
Lacey, WA 98513-2250

Mailing address

4631 Whitman LN SE Ste D
Lacey, WA 98513-2250
Phone (360) 338-0181

Other identifiers 1

IdentifierTypeStateIssuer
PT61063055OtherWASTATE LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10495MNMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1821580473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 WHITMAN LN SE STE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985132250",
            "telephone_number": "360-338-0181",
            "fax_number": "360-338-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 WHITMAN LN SE STE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985132250",
            "telephone_number": "360-338-0181",
            "fax_number": "360-338-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLAN",
        "first_name": "ALLISON",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61063055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT61063055",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.