GARRETT WALLACE (NPI# 1306339262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306339262 |
| Entity Type | Individual |
| Full Name | GARRETT WALLACE |
| Practice Address |
4109 Highway 98 W Summit MS 39666-9132 |
| Practice Telephone | 6012763909 |
| Mailing Telephone | 6012763909 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4109 HIGHWAY 98 W |
| City | SUMMIT |
| State | MS |
| Zip Code | 39666-9132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316151830 | Tanekia Gatlin | Speech-Language Pathologist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2007-05-10 |
| 1942851472 | Evelyn Letitia Haygood | Physical Therapist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2019-09-25 |
| 1114585601 | Johnathan G Freeman | Physical Therapist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2019-05-30 |
| 1568028132 | Ashton Brett Richardson | Speech-Language Pathologist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2019-05-19 |
| 1144883778 | Kristen Steele | Occupational Therapist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2019-04-18 |
| 1841853033 | Brelon T Bryant | Physical Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2019-04-15 |
| 1558833525 | Bailey Miller | Speech-Language Pathologist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2019-01-01 |
| 1356821797 | Lauren Langham | Speech-Language Pathologist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2018-08-15 |
| 1093225724 | Angela Beene Gill | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2017-10-09 |
| 1104344548 | Christi Steed | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2017-09-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531005 | Bobbi Burns Burdett | Counselor | 377 Montgomery Rd Sw, Summit, MS 39666 | 2020-02-27 |
| 1871073908 | Southwest Pharmacy, Inc. | Pharmacy | 1121 Hwy 98 and 51, Summit, MS 39666 | 2018-08-17 |
| 1710463856 | Lucy Rena' Mikell | Nurse Practitioner | 804 Robb Street, Summit, MS 39666 | 2018-07-12 |
| 1720586332 | Summit Express Pharmacy LLC | Pharmacy | 105 S Laurel St # 1310, Summit, MS 39666 | 2018-01-29 |
| 1356891667 | Brad Fortinberry | Physical Therapist | 709 Robb Street, Summit, MS 39666 | 2016-10-11 |
| 1124432679 | Tara Lynn Felder | Pharmacist | 1121 Hwy 98/51, Summit, MS 39666 | 2014-06-12 |
| 1295166056 | Thomas Chadwick Cochran | Dietitian, Registered | 1011 Meadville Street, Summit, MS 39666 | 2013-12-04 |
| 1912281999 | Lauren Wolfarth | Occupational Therapy Assistant | 4109 Highway 98 West, Summit, MS 39666 | 2011-10-07 |
| 1902196777 | Salena J Steade | Nurse Practitioner | 7900 Hwy 570, Summit, MS 39666 | 2011-04-14 |
| 1376853531 | Rose Cancer Center | Internal Medicine | 807 Rob Street, Summit, MS 39666 | 2010-10-20 |
| Find all providers in zip 39666 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487281317 | Janet Warnet | Physical Therapist | 11 Overlook Rd Ste 190, Summit, NJ 07901-3577 | 2020-03-23 |
| 1346730645 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 33 Union Pl, Summit, NJ 07901-3650 | 2018-05-14 |
| 1790285153 | Michael Ray Dunaway Jr. | Physical Therapist | 709 Robb St, Summit, MS 39666-8241 | 2018-02-12 |
| 1356891667 | Brad Fortinberry | Physical Therapist | 709 Robb Street, Summit, MS 39666 | 2016-10-11 |
| 1821418054 | Moheb S Botroth | Physical Therapist | 71 Baltusrol Rd, Summit, NJ 07901-3306 | 2014-04-28 |
| 1942574439 | Star Pt, LLC | Physical Therapist | 308 Broad St, Summit, NJ 07901-3507 | 2012-02-29 |
| 1346304482 | John V Scioscia | Physical Therapist | 60 Morris Tpke Ste 2w, Summit, NJ 07901-5007 | 2006-12-21 |
| 1508876624 | Lisa Michelle Weinman | Physical Therapist | 557 Morris Ave, Summit, NJ 07901-1320 | 2006-08-09 |
| 1871544700 | Spencer Ulrich | Physical Therapist | 68 River Rd, C/o Equinox, Summit, NJ 07901-1450 | 2006-05-15 |
| 1497388839 | Efe Osemeha | Physical Therapist | 68 River Rd, Summit, NJ 07901-1450 | 2020-02-13 |
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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.