MR. WALLACE WILLIAM PERRY (NPI# 1912064866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912064866 |
| Entity Type | Individual |
| Full Name | MR. WALLACE WILLIAM PERRY |
| Credential | PTA |
| Practice Address |
111 Brewster St Pawtucket RI 02860-4400 |
| Mailing Address |
144 Centre St Rumford RI 02916-3146 |
| Practice Telephone | 4017292629 |
| Mailing Telephone | 4014385031 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA00091 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
111 BREWSTER ST |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275534281 | Zsolt Orban | Internal Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2005-08-02 |
| 1861020646 | Marleny Margarita Acosta | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4400 | 2020-03-29 |
| 1508492208 | Kimberly A Ainsworth | Nurse Practitioner | 111 Brewster St, Pawtucket, RI 02860-4400 | 2020-03-14 |
| 1962066878 | Pavinarmatha Ketheeswaran | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-04-25 |
| 1679137780 | Rebecca Lauren Lach | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-04-24 |
| 1700349495 | Katharina Rosalinde De Klerk | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-04-09 |
| 1962965905 | Matthew Perry | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-04-08 |
| 1184185662 | Amber Cardoos | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-03-27 |
| 1073073581 | Cailey Indech | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-03-21 |
| 1639639271 | Laura Nicole Hoeg | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| 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 |
|---|---|---|---|---|
| 1922242171 | Angela R Lanzillo | Physical Therapy Assistant | 132 Hatfield St, Pawtucket, RI 02861-2956 | 2009-04-30 |
| 1487194460 | Melynda May Duggan | Physical Therapy Assistant | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2017-02-24 |
| 1508308883 | Yvette Bonilla | Physical Therapy Assistant | 111 Central Ave, Apt 1, Pawtucket, RI 02860-1310 | 2016-11-17 |
| 1528481512 | Noah Schneider | Physical Therapy Assistant | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2014-01-27 |
| 1922394600 | Lindsey Ashbridge Hohl | Physical Therapy Assistant | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2011-06-22 |
| 1992970669 | Christine Frati | Physical Therapy Assistant | 100 Smithfield Ave, Pawtucket, RI 02860 | 2008-04-24 |
| 1366651994 | Anna Gomolka | Physical Therapy Assistant | 70 Gill Ave, Pawtucket, RI 02861-4315 | 2007-05-21 |
| 1326124025 | Judith Lansing | Physical Therapy Assistant | 100 Smithfield Ave, Pawtucket, RI 02860-3497 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465150 | John F Roche | Physical Therapy Assistant | 45 Notre Dame Ave, Cumberland, RI 02864-2318 | 2020-04-03 |
| 1255970349 | Amanda G Patnaude | Physical Therapy Assistant | 5 Will Croft, Cumberland, RI 02864-5043 | 2020-01-06 |
| 1407400088 | Linda Evans | Physical Therapy Assistant | 68 Wapping Rd, Portsmouth, RI 02871-5300 | 2019-07-31 |
| 1396270187 | Kerri K Lewis | Physical Therapy Assistant | 54 Aquidneck Ave, Middletown, RI 02842-5608 | 2017-04-29 |
| 1609308055 | Lora Struzik | Physical Therapy Assistant | 386 Annaquatucket Rd, North Kingstown, RI 02852-6106 | 2017-04-03 |
| 1801337530 | Chris Wright | Physical Therapy Assistant | 860 Tower Hill Rd, North Kingstown, RI 02852-6611 | 2017-03-14 |
| 1629518873 | Karen Martin | Physical Therapy Assistant | 42 Carole Dr, Tiverton, RI 02878-3119 | 2017-03-06 |
| 1295274249 | Kelly N Connors | Physical Therapy Assistant | 31 Haile St, Warren, RI 02885-4001 | 2017-02-22 |
| 1134667082 | Mary Greenlund | Physical Therapy Assistant | 261 Main Street Suite 101, North Smithfield, RI 02896 | 2017-02-10 |
| 1790229573 | David Salimeno | Physical Therapy Assistant | A31 Krzak Rd, North Kingstown, RI 02852-1876 | 2016-12-13 |
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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.