SUSAN WALLACE (NPI# 1639554769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639554769 |
| Entity Type | Individual |
| Full Name | SUSAN WALLACE |
| Practice Address |
35 Medical Center Pkwy Augusta ME 04330-8160 |
| Practice Telephone | 2076213639 |
| Mailing Telephone | 2076213639 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT420 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477910792 | Susan Anne Wallace | Licensed Practical Nurse | 44 Beechwood Dr, Manorville, NY 11949-2947 | 2016-01-16 |
| 1376842732 | Susan Elizabeth Wallace | Dietitian, Registered | 102 Carran Dr, Lakeside Park, KY 41017-2233 | 2011-03-23 |
| 1598904427 | Susan Leigh Wallace | Specialist | 103 Windwood Rd, North Syracuse, NY 13212-1956 | 2009-02-17 |
| 1366646457 | Susan Taylor Wallace | Speech-Language Pathologist | 3409 Connection Dr, Fayetteville, NC 28311-0151 | 2007-06-12 |
| 1952426025 | Susan Wallace | Acupuncturist | 1009 Solano Ave, # A, Albany, CA 94706-1617 | 2007-03-20 |
| 1447375662 | Susan D. Wallace | Counselor | 166 Pawtucket Avenue, Pawtucket, RI 02860-3811 | 2007-03-20 |
| 1740537687 | Susan R Wallace | Nurse Practitioner | 100 Methodist Blvd, Hattiesburg, MS 39402-1295 | 2012-08-09 |
| 1710247812 | Susan Victoria Wallace | Marriage & Family Therapist | 9685 Hayes St, Riverside, CA 92503-3660 | 2012-05-22 |
| 1427203462 | Susan Marie Wallace | Occupational Therapist | 355 Oak Grove Rd, Spartanburg, SC 29301-2537 | 2008-11-18 |
| 1194985887 | Susan Jean Wallace | Registered Nurse | E Hwy 18, Pine Ridge, SD 57770-1201 | 2008-06-16 |
| Street Address |
35 MEDICAL CENTER PKWY |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-8160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121171 | Eric W Barry | Specialist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2005-08-10 |
| 1205433976 | Julie Cummings | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2020-10-06 |
| 1023630266 | Jamie Sue Boutin | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2020-05-11 |
| 1861026296 | Michelle Tocher | Advanced Practice Midwife | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2020-02-25 |
| 1831749167 | Ashley Ellis | Occupational Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-09-18 |
| 1104472083 | Dianna Alexander | Social Worker | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-15 |
| 1952957003 | Susan Noyes | Occupational Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-14 |
| 1154977635 | Andaria Crespi | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-08-12 |
| 1497309793 | Katie Lynn Bessey | Nurse Practitioner | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-07-25 |
| 1295394997 | Kyle Scherer | Occupational Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| 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 |
|---|---|---|---|---|
| 1295394922 | Evan Ross Miles | Physical Therapist | 2115 Windsor Spring Rd Ste 23, Augusta, GA 30906-4883 | 2019-06-06 |
| 1770041600 | Robert Jeremy Kirschner | Physical Therapist | 1220 W Wheeler Pkwy Ste E, Augusta, GA 30909-1895 | 2019-03-11 |
| 1558887000 | Timothy Richard Mettenburg | Physical Therapist | 3205 Deans Bridge Rd Ste 9, Augusta, GA 30906-4200 | 2017-08-16 |
| 1306366646 | Aegis Group Practice LLC | Physical Therapist | 724 Greene St Apt 814, Augusta, GA 30901-2340 | 2017-06-27 |
| 1295260230 | Shannon Sine | Physical Therapist | 1274 Mid Haines Rd, Augusta, WV 26704-2704 | 2017-04-27 |
| 1609227602 | Judith Downs | Physical Therapist | 275 W Vineland Rd, Augusta, GA 30904-3418 | 2016-06-30 |
| 1285026773 | Kellie Collins | Physical Therapist | 1120 15th St Fl 6, Augusta, GA 30912-0004 | 2015-02-20 |
| 1740697903 | Michael Scott Loving | Physical Therapist | 3205 Deans Bridge Rd, Augusta, GA 30906-4208 | 2014-07-18 |
| 1801201165 | Lindsay Chambers | Physical Therapist | 3119 Sussex Rd, Augusta, GA 30909-3327 | 2014-06-25 |
| 1740619907 | Chris Rogers | Physical Therapist | 1807 Heath St, Augusta, GA 30904-5280 | 2013-11-07 |
| Find all providers in AUGUSTA | ||||
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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.