Mark Allen Physical Therapy, a Professional Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

MP22591 Issued in CA

Legal business name

MARK ALLEN PHYSICAL THERAPY, A PROFESSIONAL CORPORATION

Practice address

20515 Yorba Linda Blvd
Suite D10
Yorba Linda, CA 92886-7109

Phone

(714) 340-3035

Fax

(714) 340-3139

NPI assigned

Jun 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Mark B Allen, MPTNPI 1497896054

Title

Owner

Phone

(714) 340-3035

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Boone Allen, MPT

  • Physical Therapist
  • Irvine, CA
  • NPI 1497896054
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1891176103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20515 YORBA LINDA BLVD",
            "address_2": "SUITE D10",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867109",
            "telephone_number": "714-340-3035",
            "fax_number": "714-340-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20515 YORBA LINDA BLVD",
            "address_2": "SUITE D10",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867109",
            "telephone_number": "714-340-3035",
            "fax_number": "714-340-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ALLEN PHYSICAL THERAPY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-340-3035",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "MP22591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Denise Maldonado-Plascencia, LCSW
• Masood Parvez Malik, PHARM.D.
• Pryscilla Lyhn Gandia Mann, LCSW
• James Dean Marin, RD
• Mark a. Dougherty, D.D.S., Inc
• Lynn Francis Marran, OD
• Martin Stauber MD, a Medical Corporation
• Keith L Martin, M.D.
• Megan Martin, PHARM D
• Eduardo Manuel Mas, D.D.S.

• Physical Therapist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.