Individual ProviderNicholas John AllenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3132 Old Jacksonville Rd, Suite 140, Springfield, IL 62704-7400(217) 862-0400PECOS EnrollmentBased on the most recent information from CMS, provider Nicholas John Allen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1790822013Provider TypeIndividualFull NameAllen, Nicholas JohnCredentialPTGenderMaleSole ProprietorNoEnumeration Date1/30/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address3132 Old Jacksonville Rd, Suite 140, Springfield, IL 62704-7400Phone(217) 862-0400FaxUnlisted FaxMailing LocationMailing Address825 S Douglas Ave, Springfield, IL 62704-2421PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerIllinois