SHAWNA T. WALLACE (NPI# 1417225806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417225806 |
| Entity Type | Individual |
| Full Name | SHAWNA T. WALLACE |
| Credential | PT |
| Practice Address |
21 Butterfly Irvine CA 92604-1951 |
| Practice Telephone | 9496532383 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT 20540 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHYSICAL THERAPY BOARD OF CALIFORNIA | PT 20540 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643679 | Shawna Nicole Wallace | Social Worker | 1371 Winged Foot Dr, Apopka, FL 32712-2386 | 2020-09-12 |
| 1992369029 | Shawna Louise Wallace | Licensed Practical Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-04-24 |
| Street Address |
21 BUTTERFLY |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| 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 |
|---|---|---|---|---|
| 1841837903 | Steven Behm | Physical Therapist | 12 Mauchly Ste A, Irvine, CA 92618-2394 | 2019-12-06 |
| 1558916973 | Elliott H Chi | Physical Therapist | 14150 Culver Dr Ste 103, Irvine, CA 92604-0322 | 2019-08-02 |
| 1497218358 | Stephanie Yusun Choi | Physical Therapist | 60 Sanctuary, Irvine, CA 92620-3426 | 2019-04-08 |
| 1922570696 | Noel M Santayana | Physical Therapist | 100 Spectrum Center Dr Ste 900, Irvine, CA 92618-4974 | 2018-12-19 |
| 1396215174 | Darren W Wong | Physical Therapist | 110 Chantilly, Irvine, CA 92620-2862 | 2018-12-05 |
| 1811465768 | Kimberly Takaoka | Physical Therapist | 33 Creek Rd Ste 190, Irvine, CA 92604-7702 | 2018-11-08 |
| 1902373558 | Grace Huei-en Wang | Physical Therapist | 8 Encina, Irvine, CA 92620-1846 | 2018-10-31 |
| 1629583729 | Staphany Lao | Physical Therapist | 16305 Sand Canyon Ave Ste 210, Irvine, CA 92618-3783 | 2017-12-12 |
| 1659881688 | Purvi Chandresh Javia | Physical Therapist | 41 Royal Victoria, Irvine, CA 92606-1919 | 2017-10-04 |
| 1124547260 | Christopher Michael Amato | Physical Therapist | 69313 Verano Place, Irvine, CA 92617 | 2017-09-09 |
| Find all providers in IRVINE | ||||
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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.