Provider Demographics
NPI:1255850558
Name:TANG, ALLISON (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:TANG
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1910 E 1ST ST UNIT 213
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-6675
Mailing Address - Country:US
Mailing Address - Phone:970-417-7735
Mailing Address - Fax:
Practice Address - Street 1:3947 GULF SHORES PKWY STE 260
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-2729
Practice Address - Country:US
Practice Address - Phone:251-943-0803
Practice Address - Fax:251-943-4403
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH10234225100000X
NM5099225100000X
TN14526225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM5099OtherNM PHYSICAL THERAPY BOARD LICENSURE
ALPTH10234OtherALABAMA BOARD OF PHYSICAL THERAPY
FL37114OtherSTATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
COPTL15761OtherCOLORADO BOARD OF PHYSICAL THERAPY