Jeanette L Allender, PT
Individual provider Active NPI Physical Therapist · Mason, OH
NPI 1922583491 · NPPES record last updated Sep 30, 2018
Key facts
- NPI
- 1922583491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT9928 (OH)
- Practice address
- 5467 Cedar Village Dr
Mason, OH 45040-8693 - Phone
- (513) 204-0368
- NPI assigned
- Sep 30, 2018
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT9928 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT9928 | OH | Yes |
Addresses
Primary practice location
5467 Cedar Village Dr
Mason, OH 45040-8693
Mailing address
8698 Cox Rd
West Chester, OH 45069-3336
Phone (513) 885-5647
Other practice location 1
118 Medical Dr
Carmel, IN 46032-3323
Phone (317) 573-1037
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2018. 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.