Provider Demographics
NPI:1154519536
Name:MCNAMARA, ALLISON ROSE (DPT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ROSE
Last Name:MCNAMARA
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:ROSE
Other - Last Name:GIBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:64 VERDANT RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-4205
Mailing Address - Country:US
Mailing Address - Phone:732-266-4720
Mailing Address - Fax:
Practice Address - Street 1:6595 ROOSEVELT BLVD # B
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-2998
Practice Address - Country:US
Practice Address - Phone:215-743-2332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01260300225100000X
NY035638225100000X
PA032788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist