GERALYN WALLACE (NPI# 1164734638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164734638 |
| Entity Type | Individual |
| Full Name | GERALYN WALLACE |
| Practice Address |
110 N Main St Greenville PA 16125-1726 |
| Mailing Address |
369 S Keel Ridge Rd Hermitage PA 16148-3508 |
| Practice Telephone | 7245882100 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC010198 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
110 N MAIN ST |
| City | GREENVILLE |
| State | PA |
| Zip Code | 16125-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609419217 | Michelle Nicolette Porembka | Physician Assistant | 110 N Main St, Greenville, PA 16125-1726 | 2019-10-26 |
| 1275198095 | Jessica Brown | Nurse Practitioner | 110 N Main St, Greenville, PA 16125-1726 | 2019-05-07 |
| 1992122758 | Natalie Cekovich | Nurse Practitioner | 110 N Main St, Greenville, PA 16125-1726 | 2014-03-18 |
| 1275873945 | University of Pittsburgh Physicians | Pathology | 110 N Main St, Greenville, PA 16125-1726 | 2013-02-18 |
| 1073852026 | Maria L Chavara | Physician Assistant | 110 N Main St, Greenville, PA 16125-1726 | 2013-02-12 |
| 1174827406 | Susan S Jackson | Nurse Practitioner | 110 N Main St, Greenville, PA 16125-1726 | 2010-12-30 |
| 1629372263 | Megan Elise Stockner | Physical Therapy Assistant | 110 N Main St, Greenville, PA 16125-1726 | 2010-12-22 |
| 1841504131 | Juliana M. Fulkman | Physical Therapy Assistant | 110 N Main St, Greenville, PA 16125-1726 | 2010-07-29 |
| 1891009098 | Ashley Renee Spencer | Physical Therapy Assistant | 110 N Main St, Greenville, PA 16125-1726 | 2010-07-29 |
| 1275847477 | Kari Elizabeth Barber | Physical Therapy Assistant | 110 N Main St, Greenville, PA 16125-1726 | 2010-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983340 | Heather Christine Groeger | Licensed Vocational Nurse | 9 Greenville Sheakleyville Rd, Greenville, PA 16125 | 2019-10-11 |
| 1710316153 | Federico Pascual Vallesteros | Anesthesiology | 223 Greenville Rd, Greenville, PA 16125 | 2013-11-06 |
| 1083944524 | Kimberly Weaver | Nurse Practitioner | 12 Sherrard Avenue, Greenville, PA 16125 | 2010-01-06 |
| 1992972749 | Jinine Elizabeth Flynn-napotnik | Chiropractor | 5 Orthopedic Center, Greenville, PA 16125 | 2008-05-12 |
| 1073631859 | Russell W Poe | Dentist | 83 Shenango St, Greenville, PA 16125 | 2007-03-27 |
| 1487791042 | Sanda Marina Constantinidi | Pediatrics | 6 Manorview Drive, Greenville, PA 16125 | 2007-01-31 |
| 1811067564 | Stuart D Anderson | Orthopaedic Surgery | Greenville Orthopedic Association, 1 Greenville Orthopedic Center, Greenville, PA 16125 | 2006-11-09 |
| 1598854291 | Susan E Calderbank | Dentist | 43 Clinton St, Greenville, PA 16125 | 2006-10-12 |
| 1437268158 | Robert Michael Woods | Dentist | 282 Main Street, Greenville, PA 16125 | 2006-08-29 |
| 1154397453 | Thomas Z Pineo | Family Medicine | 110 North Main Street, Greenville, PA 16125 | 2006-02-27 |
| Find all providers in zip 16125 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009847 | Moonbeam and Miracles Therapeutic Horsemanship Center | Occupational Therapist | 2075 Nc Highway 121, Greenville, NC 27834-7188 | 2020-09-24 |
| 1992320568 | Lauren E Craig | Occupational Therapist | 313 Saint Helena Ct, Greenville, SC 29607-5988 | 2020-06-10 |
| 1811526023 | Jeffrey David Loveland | Occupational Therapist | 312 Crestmont Way Bldg 300, Greenville, SC 29615-5055 | 2020-04-08 |
| 1396379723 | Pt Solutions of Acworth LLC | Occupational Therapist | 1322 E Washington St Ste B1, Greenville, SC 29607-1867 | 2020-02-25 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1164984407 | Michele Vance | Occupational Therapist | 25 Woods Lake Rd Ste 503, Greenville, SC 29607-6125 | 2019-04-04 |
| 1790243871 | Lindsey Michele Keys | Occupational Therapist | 48 Mcprice Ct Apt 414, Greenville, SC 29615-6344 | 2019-03-07 |
| 1992279970 | Elizabeth Webb Carraway | Occupational Therapist | 1925 Turnbury Dr, Greenville, NC 27858-6168 | 2019-01-14 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1700389897 | Cheryl Diane Vantimmeren | Occupational Therapist | 6896 S Greenville Rd Ste 200, Greenville, MI 48838-1081 | 2018-03-14 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 16125 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.