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NPI Code Detail

MEDICARE: AMY JO ALLISON PT, DPT

MEDICARE: AMY JO ALLISON PT, 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
12251X0800XOrthopedic Physical Therapist1220410TX

General Provider Information

NPI Number : 1558705608
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY JO ALLISON PT, DPT
Provider Business Mailing Address
First Line : 2501 LAKESIDE PKWY APT 104
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75022-4178
Country : US
Telephone Number : 918-384-8896
Fax Number : 469-253-6140
Provider Business Practice Location Address
First Line : 2621 SUMMIT AVE STE 500
Second Line :
City : PLANO
State : TX
Zip : 75074-3748
Country : US
Telephone Number : 918-384-8896
Fax Number : 469-253-6140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2013
Last Update Date : 10/29/2021

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