Provider Demographics
NPI:1689647992
Name:ALLEN, LINDA (DPT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 WASHINGTON AVE
Mailing Address - Street 2:PLEASANTVILLE PHYSICAL THERAPY & SPORTS CARE PC
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570
Mailing Address - Country:US
Mailing Address - Phone:914-741-2767
Mailing Address - Fax:914-741-2776
Practice Address - Street 1:501 WASHINGTON AVE
Practice Address - Street 2:PLEASANTVILLE PHYSICAL THERAPY & SPORTS CARE PC
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570
Practice Address - Country:US
Practice Address - Phone:914-741-2767
Practice Address - Fax:914-741-2776
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0278881225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0222701OtherORTHONET CIGNA HMO
0222701OtherORTHONET USFH
8453155OtherCIGNA PPO
7106828OtherAETNA PPO
0013701OtherORTHONET AETNA HMO
0222701OtherORTHONET HEALTHNET
1177865OtherAETNA HMO
Q34B8OtherEMPIRE BCBS
0013701OtherORTHONET AETNA HMO
8453155OtherCIGNA PPO