NPI 1316930852 · live from the CMS NPI Registry
Jan Mixson Allen, PT
Physical Therapist in Yorktown, VA. National Provider Identifier 1316930852, active.
NPI record
| NPI | 1316930852 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3540 Victory Blvd, Yorktown, VA 23693 |
| Practice phone | 757-776-0736 |
| Mailing address | 404 Tabb Lakes Dr, Yorktown, VA 23693 |
| Enumerated | August 30, 2005 |
| Last updated | March 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 2305003533 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.