Breeann Vernon Allred, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6771549-2401 Issued in UT

Practice address

1400 N 500 E
Logan, UT 84341-2455

Phone

(435) 716-5010

Fax

(435) 716-5624

NPI assigned

Aug 29, 2007

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aylara

  • Physical Therapy Clinic/Center
  • Logan, UT
  • NPI 1043902349
  NPD Authorized official
• Wyoming Specialized Physical Therapy Inc.

  • Physical Therapist
  • Evanston, WY
  • NPI 1336151265
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1932393261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N 400 E STE 106",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417595",
            "telephone_number": "435-500-5862",
            "fax_number": "435-514-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N 500 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412455",
            "telephone_number": "435-716-5010",
            "fax_number": "435-716-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "BREEANN",
        "middle_name": "VERNON",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6771549-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE NUMBER",
            "identifier": "6771549-2401",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loralynn Allen
• Ryan Allen, DO
• Timothy Jordan Allen, M.S. CCC-SLP
• Alliance Home Health of Northern Utah, LLC
• Bethany Anne Allred, CSW
• Robert Thomas Allred, D.C.
• Anessa Almendariz
• Alpine Home Medical Equipment LLC
• Alpine Management and Consulting (Alpine Orthopaedic Specialists LLC)
• Alpine Management and Consulting

• Physical Therapist in Logan, UT
• Providers in Logan, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.