Healthcare Provider Details

I. General information

NPI: 1851201412
Provider Name (Legal Business Name): ABIGAIL ALLEN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1732 NEWPORT HWY STE 1
SEVIERVILLE TN
37876-1996
US

IV. Provider business mailing address

1103 VILLAGE DR
SEVIERVILLE TN
37862-5029
US

V. Phone/Fax

Practice location:
  • Phone: 865-366-3043
  • Fax: 865-366-3044
Mailing address:
  • Phone: 865-908-3261
  • Fax: 865-908-1976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17263
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: