Provider Demographics
NPI:1720018252
Name:ALLOCCO, JOHN JR (MPT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:ALLOCCO
Suffix:JR
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7033 BAHAMA SWALLOW AVE
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-8300
Mailing Address - Country:US
Mailing Address - Phone:352-597-1772
Mailing Address - Fax:
Practice Address - Street 1:6119 DELTONA BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-1011
Practice Address - Country:US
Practice Address - Phone:352-592-9559
Practice Address - Fax:352-592-9921
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18650225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY9050XMedicare ID - Type UnspecifiedPHYSICAL THERAPIST