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Physician Compare National (NPI:1891299913)

HEALTHCARE PROVIDER: CAITLIN TAYLOR ALLRED DPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1891299913
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8224393699
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20180606000727
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ALLRED
Individual professional last name
Provider First Name CAITLIN
Individual professional first name
Provider Middle Name TAYLOR
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2018
Individual professional's medical school graduation year
Primary Specialty PHYSICAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 861 N HIGLEY RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE B 115
Group Practice or individual's line 2 address
City GILBERT
Group Practice or individual's city
State AZ
Group Practice or individual's state
Zip Code 852349602
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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