MEDICARE: AMANDA KATHLEEN ALLEN DPT

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	13188	NC

General Provider Information

NPI Number	:	1366730533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA KATHLEEN ALLEN DPT

Provider Business Mailing Address
First Line	:	317N EL CAMINO REAL
Second Line	:
City	:	ENCINITAS
State	:	CA
Zip	:	92024-2811
Country	:	US
Telephone Number	:	619-299-5246
Fax Number	:	619-299-5751

Provider Business Practice Location Address
First Line	:	5838 SIX FORKS RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-3885
Country	:	US
Telephone Number	:	919-847-1100
Fax Number	:	919-847-1130

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

Provider Enumeration Date	:	07/21/2011
Last Update Date	:	10/20/2015

Similar Medicare Providers

1477523082 — DR. ROBERT LACIN MD
Practice Location Address:

5838 SIX FORKS RD , SUITE 100
RALEIGH, NC
27609-3885

Practice Phone: 919-785-3400
Practice Fax: 919-783-7778

1801861406 — RUSSELL REID MARGRAF MD PHD
Practice Location Address:

5838 SIX FORKS RD , SUITE 100
RALEIGH, NC
27609-3885

Practice Phone: 919-785-3400
Practice Fax: 919-783-7778

1114257284 — BRIAN ALAN BURNE PA-C
Practice Location Address:

5838 SIX FORKS RD , SUITE 100
RALEIGH, NC
27609-3885

Practice Phone: 919-785-3400
Practice Fax: 919-783-7810

1720393077 — LAITH KHOURY M.D.
Practice Location Address:

5838 SIX FORKS RD
RALEIGH, NC
27609-3885

Practice Phone: 919-785-3400
Practice Fax: 919-783-7778

1477862969 — DR. LARS BENJAMIN GARDNER D.O.
Practice Location Address:

5838 SIX FORKS RD , SUITE 100
RALEIGH, NC
27609-3885

Practice Phone: 919-785-3400
Practice Fax:

1659678647 — MRS. TARA BETH LUELLEN MA, LPA
Practice Location Address:

5838 SIX FORKS RD , SUITE 200
RALEIGH, NC
27609-3885

Practice Phone: 919-785-9944
Practice Fax: 919-785-9992

Directions to “ AMANDA KATHLEEN ALLEN DPT” 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.