MEDICARE: MRS. JAN MIXSON ALLEN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305003533	VA

General Provider Information

NPI Number	:	1316930852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAN MIXSON ALLEN PT

Provider Business Mailing Address
First Line	:	404 TABB LAKES DR
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-4118
Country	:	US
Telephone Number	:	757-619-7241
Fax Number	:

Provider Business Practice Location Address
First Line	:	3540 VICTORY BLVD
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-3641
Country	:	US
Telephone Number	:	757-776-0736
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	03/17/2018

Similar Medicare Providers

1295100972 — LESIA STEVER
Practice Location Address:

3540 VICTORY BLVD
YORKTOWN, VA
23693-3641

Practice Phone: 757-230-2202
Practice Fax:

1992288260 — SAMANTHA RENEE HONIE DPT
Practice Location Address:

3540 VICTORY BLVD
YORKTOWN, VA
23693-3641

Practice Phone: 757-230-2202
Practice Fax:

1205507365 — TAMMY H BOUCHARD LPTA
Practice Location Address:

3540 VICTORY BLVD
YORKTOWN, VA
23693-3641

Practice Phone: 757-230-2202
Practice Fax:

1386362960 — ELAINE WEIDLE
Practice Location Address:

3540 VICTORY BLVD
YORKTOWN, VA
23693-3641

Practice Phone: 757-230-2202
Practice Fax:

1831044429 — MALIK OSBORNE
Practice Location Address:

501 VILLAGE AVE STE 204
YORKTOWN, VA
23693-5657

Practice Phone: 757-947-8419
Practice Fax:

1639020662 — KASEY COPELAND PT, DPT
Practice Location Address:

250 JOSEPHS DR
YORKTOWN, VA
23693-3405

Practice Phone: 757-272-0300
Practice Fax:

Directions to “ MRS. JAN MIXSON ALLEN PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.