MRS. LINDA WALLACE (NPI# 1659795441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659795441 |
| Entity Type | Individual |
| Full Name | MRS. LINDA WALLACE |
| Credential | PTA |
| Practice Address |
5601 Hatchery Rd Waterford MI 48329-3451 |
| Practice Telephone | 2486749292 |
| Mailing Telephone | 2486749292 |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225124167 | Linda Wallace | Specialist | 1835 Kinghighway, Washington Park, IL 62204 | 2006-10-05 |
| 1326538745 | Linda Marie Wallace | Registered Nurse | 18650 Nw Cornell Rd Ste 215, Hillsboro, OR 97124-9212 | 2018-05-10 |
| 1588029847 | Linda Wallace | Social Worker | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2015-12-30 |
| 1184802787 | Linda W Wallace | Physical Therapist | 11740 Columbia St, Blakely, GA 39823-2574 | 2008-02-06 |
| 1184694473 | Linda M. Wallace | Audiologist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2006-01-26 |
| Street Address |
5601 HATCHERY RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329-3451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013013275 | Canterbury Health Care, Inc | Skilled Nursing Facility | 5601 Hatchery Rd, Waterford, MI 48329 | 2006-09-15 |
| 1134603087 | Joshua Lawrence | Occupational Therapist | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2018-09-17 |
| 1194123505 | Jefforey Mclanson | Physical Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-12-17 |
| 1497150890 | Michael Sahagun | Physical Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-10-28 |
| 1043610918 | Sommer V Collins | Occupational Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-08-28 |
| 1568861078 | Daniel Mallory | Occupational Therapy Assistant | 5601 Hatchery Rd, 248) 674-9292, Waterford, MI 48329-3451 | 2014-08-20 |
| 1972915452 | Dawn Osman Fraser | Physical Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-06-02 |
| 1184048217 | Marcia Scarbrough | Physical Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-02-10 |
| 1346663630 | Lisa Gorski | Occupational Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-01-23 |
| 1316377070 | Virgil Keepes Jr. | Occupational Therapist | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2013-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1891267985 | Yvonne Marie Lacrosse | Physical Therapy Assistant | 960 Tecumseh Ave, Waterford, MI 48327-3138 | 2018-12-30 |
| 1962950931 | Amber Cox | Physical Therapy Assistant | 4889 Clinton Way Dr, Waterford, MI 48328-1007 | 2016-09-19 |
| 1225256654 | Jennifer Fanelli | Physical Therapy Assistant | 5984 Coppersmith Rd, Waterford, MI 48327-3025 | 2007-04-23 |
| 1215966908 | Amy Beth Flock | Physical Therapy Assistant | 2319 Fox Knoll Dr, Waterford, WI 53185 | 2006-07-03 |
| 1063077980 | Tina Shriner | Physical Therapy Assistant | 1265 W Huron St Ste 101, Waterford, MI 48328-3677 | 2019-05-06 |
| 1043774086 | Gabrielle Elswick | Physical Therapy Assistant | 1901 N Telegraph Rd, Waterford, MI 48328-1878 | 2019-01-23 |
| 1376012708 | Teri Doreen Broadway | Physical Therapy Assistant | 1901 N Telegraph Rd, Waterford, MI 48328-1878 | 2018-11-14 |
| 1134695521 | Christine Fregien | Physical Therapy Assistant | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2018-10-23 |
| 1205328440 | William Ernest Plemons | Physical Therapy Assistant | 2590 Elizabeth Lake Rd, Waterford, MI 48328-3314 | 2018-06-04 |
| 1477939429 | Pamela Wynn | Physical Therapy Assistant | 301 Rope Ferry Rd, Waterford, CT 06385-2610 | 2015-07-31 |
| Find all providers in WATERFORD | ||||
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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.