Gary Lee Allen
Individual provider Active NPI Physical Rehabilitation Occupational Therapist · Bristol, VA
NPI 1831964246 · NPPES record last updated Nov 16, 2023
Key facts
- NPI
- 1831964246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Rehabilitation Occupational Therapist 225XP0019X
- License
- 818 (TN)
- Practice address
- 245 North St
Bristol, VA 24201-3274 - Phone
- (276) 669-4711
- NPI assigned
- Nov 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 818 | TN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 818 | TN | Yes |
Addresses
Primary practice location
245 North St
Bristol, VA 24201-3274
Mailing address
1012 Pennsylvania Ave
Bristol, TN 37620-3829
Phone (423) 488-7207
Other providers in Bristol, VA
- Julie Ann Adolphson
- Advanced Medical Devices, LLC
- April E Akers
- Allen Chiropractic Care Inc.
- Earl Briggs Allen Jr.
- Alexis Jade Alley
- American Home Health Care LLC
- American Medical Devices, Inc.
- Appalachian Agency for Senior Citizens, Inc
- Appalachian Agency for Senior Citizens, Inc
All providers in Bristol, VA · Physical Rehabilitation Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 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.