Provider Demographics
NPI:1851474183
Name:DELANEY, ALLISON (PT, BCC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:PT, BCC
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:S
Other - Last Name:CHIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4600 EDMUNDSON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63134-3806
Mailing Address - Country:US
Mailing Address - Phone:314-733-6801
Mailing Address - Fax:
Practice Address - Street 1:4600 EDMUNDSON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63134-3806
Practice Address - Country:US
Practice Address - Phone:314-733-6801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204613225100000X
113136374K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00419512OtherRAILROAD MEDICARE
VA010352312Medicaid
VA192935OtherBCBS PHY THERAPY
VA7214855OtherAETNA
VA014809T54Medicare PIN