DUSTY MATTHEW ALLRED, PTA — NPI 1841052883 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation in MARICOPA, AZ)

CMS-1500 Box 24J / 33a • NPI

1841052883

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208100000X (CMS 25)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation

Box 32 Service Location & ZIP+4

21083 N JOHN WAYNE PKWY STE C104, MARICOPA, AZ, 85139-2961

✓ 9-Digit EDI 837 ZIP+4 (85139-2961)

Practice Phone & Referral Fax

(520) 233-7555

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1841052883 (DUSTY MATTHEW ALLRED, PTA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1841052883` (NPI-1 Individual Practitioner)
Provider / Legal Name	DUSTY MATTHEW ALLRED, PTA
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation NUCC Code: `208100000X` (Physical Medicine & Rehabilitation)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	21083 N JOHN WAYNE PKWY STE C104, MARICOPA, AZ, 85139-2961
Practice Telephone / Fax	Tel: (520) 233-7555
Administrative Mailing Address	37645 W SANTA CLARA AVE, MARICOPA, AZ, 85138-5425
Enumeration & Last Sync	Enumerated: 2024-01-25 \| CMS Record Updated: 2024-01-25

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

21083 N JOHN WAYNE PKWY STE C104, MARICOPA, AZ, 85139-2961

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Plain-English Taxonomy & CMS Crosswalk (208100000X)

What Does Taxonomy Code 208100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208100000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 25 (Physician/Physical Medicine and Rehabilitation)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Medicine & Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DUSTY MATTHEW ALLRED, PTA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208100000X` — Physical Medicine & Rehabilitation Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation	State: AZ \| License: `PTA-012352` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DUSTY MATTHEW ALLRED, PTA (NPI #1841052883)