Allied Physical Medicine, PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ALLIED PHYSICAL MEDICINE, PA

Practice address

309 S Jupiter Rd Ste 100
Allen, TX 75002-3052

Phone

(214) 547-7234

Fax

(214) 547-7236

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth R Wilson II, D.C.

Title

Office Manager

Phone

(214) 547-7234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982155537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S JUPITER RD STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023052",
            "telephone_number": "214-547-7234",
            "fax_number": "214-547-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S JUPITER RD STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023052",
            "telephone_number": "214-547-7234",
            "fax_number": "214-547-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PHYSICAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-547-7234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Allen, TX
• Providers in Allen, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.