NPIMap

Organization Active NPI

Allen Therapy Services, PLLC

Doing business as Tribe Pediatric Rehabilitation, PLLC

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1861656035
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5457 Issued in FL
Legal business name
ALLEN THERAPY SERVICES, PLLC
Doing business as
Tribe Pediatric Rehabilitation, PLLC
Practice address
2103 Gilmore St
Jacksonville, FL 32204-3211
Phone
(904) 465-0178
Fax
(904) 770-5596
NPI assigned
Jul 16, 2008
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Lori M Allen, SLPNPI 1851582167
Title
Owner
Phone
(904) 465-0178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Physical Therapist 225100000X PT 19154 FL
Speech-Language Pathologist 235Z00000X SA5457 FL Primary
Early Intervention Provider Agency 252Y00000X NU

Addresses

Primary practice location

2103 Gilmore St
Jacksonville, FL 32204-3211

Mailing address

660 Spanish Wells Rd
Jacksonville, FL 32218-8926
Phone (904) 465-0178

Other practice location 1

660 Spanish Wells Rd
Jacksonville, FL 32218-8926
Phone (904) 465-0178

Other names 1

  • Tribe Pediatric Rehabilitation, PLLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allen Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2103 Gilmore St
Jacksonville, FL 32204
Phone (904) 465-0178

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1861656035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 SPANISH WELLS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188926",
            "telephone_number": "904-465-0178",
            "fax_number": "904-770-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 GILMORE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043211",
            "telephone_number": "904-465-0178",
            "fax_number": "904-770-5596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Spanish Wells Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322188926",
            "country_code": "US",
            "telephone_number": "904-465-0178",
            "fax_number": "904-770-5596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLEN THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-465-0178",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 19154",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5457",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tribe Pediatric Rehabilitation, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.