Brad Stacy Allen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1085595 Issued in TX

Practice address

4214 98TH St
Lubbock, TX 79423-3957

Phone

(806) 712-7878

Fax

(806) 722-7878

NPI assigned

Jun 10, 2005

Sex

Male

Sole proprietor

Yes

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

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

• Allen Therapies Inc

  • Physical Therapist
  • Navasota, TX
  • NPI 1073696894
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1982608550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 50TH ST APT 807",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794141647",
            "telephone_number": "979-450-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 98TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794233957",
            "telephone_number": "806-712-7878",
            "fax_number": "806-722-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Dove Crossing Ln",
            "address_2": "STE A & B",
            "address_purpose": "LOCATION",
            "city": "Navasota",
            "state": "TX",
            "postal_code": "778685272",
            "country_code": "US",
            "telephone_number": "936-870-3475",
            "fax_number": "936-870-3476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "BRAD",
        "middle_name": "STACY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1085595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058642202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruthvik Reddy Allala, MD
• Allan J. McCorkle, M.D.,P.a.
• Jose Orina Allas, MD
• Madison Allbright, M.S. SLP INTERN
• Ana Karenina Allen
• Cathy L Allen, N.P.
• Charla Beth Allen, M.D.
• Leslie L Allen, FNP-BC
• Omotayo Grace Allen, NP
• Sheniqua Allen

• Physical Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.