Douglas Lane Allen, PT
Individual provider Active NPI Physical Therapist · Chattanooga, TN
NPI 1982914933 · NPPES record last updated Oct 8, 2010
Key facts
- NPI
- 1982914933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT0000008768 (TN)
- Practice address
- 4830 Highway 58
Suite 132
Chattanooga, TN 37416-1840 - Phone
- (423) 710-3051
- Fax
- (423) 710-3052
- NPI assigned
- Oct 8, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0000008768 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0000008768 | TN | Yes |
Addresses
Primary practice location
4830 Highway 58
Suite 132
Chattanooga, TN 37416-1840
Mailing address
6711 Mountain View Rd.
Suite 115
Ooltewah, TN 37363-6667
Phone (423) 238-1127
Other providers in Chattanooga, TN
- Gwenefred Allen-Williams
- Alicia Renee Allen
- Ashley Allen
- Chasity Deshay Allen
- David G Allen
- Hunter Chase Allen
- Jonathon C. Allen
- Kimberly Allen
- Lanisha Allen
- Mackenzie Allen
All providers in Chattanooga, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2010. 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.