Ryan Wallace (NPI# 1568420354, PAC ID# 1254527120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1568420354 |
| PAC ID by PECOS | 1254527120 |
| Professional Enrollment ID | I20101118000697 |
| Full Name | Ryan Wallace |
| Organization Legal Name | DOUGLASS ORTHOPEDIC AND SPINE REHABILITATION, INC. |
| Address |
12250 Tamiami Trail E Naples FL 34113-8108 |
| Phone Number | 2394170027 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8022004050 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 25241 Elementary Way, Bonita Springs, FL 34135-7883 | 2399474184 | DOUGLASS ORTHOPEDIC AND SPINE REHABILITATION, INC. |
| 25241 Elementary Way, Suite 200, Bonita Springs, FL 34135-7883 | 2399474184 | DOUGLASS ORTHOPEDIC AND SPINE REHABILITATION, INC. |
| 18070 S Tamiami Trl, Suite 15, Fort Myers, FL 33908-4602 | 2393444448 | FLORIDA FITNESS AND REHABILITATION INC |
| 18070 S Tamiami Trl, Fort Myers, FL 33908-4602 | 2393444448 | FLORIDA FITNESS AND REHABILITATION INC |
| 18900 N Tamiami Trl, N Ft Myers, FL 33903-7307 | 2397316222 | FLORIDA FITNESS AND REHABILITATION INC |
| 18900 N Tamiami Trl, Suite A5, N Ft Myers, FL 33903-7307 | 2397316222 | FLORIDA FITNESS AND REHABILITATION INC |
| 12250 Tamiami Trail E, Naples, FL 34113-8108 | 2394170027 | DOUGLASS ORTHOPEDIC AND SPINE REHABILITATION, INC. |
| 12250 Tamiami Trail E, Suite 102, Naples, FL 34113-8108 | 2394170027 | DOUGLASS ORTHOPEDIC AND SPINE REHABILITATION, INC. |
| Organization Legal Name | DOUGLASS ORTHOPEDIC AND SPINE REHABILITATION, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gene T Giamarino | Physical Therapy | Douglass Orthopedic and Spine Rehabilitation, Inc. | 25241 Elementary Way, Suite 200, Bonita Springs, FL 34135-7883 |
| Charles T Richardson | Physical Therapy | Douglass Orthopedic and Spine Rehabilitation, Inc. | 25241 Elementary Way, Bonita Springs, FL 34135-7883 |
| Street Address |
12250 TAMIAMI TRAIL E |
| City | NAPLES |
| State | FL |
| Zip | 34113-8108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Akrami | Diagnostic Radiology | Imaging Associates of Indiana PC | 6642 Costa Cir, Naples, FL 34113-1703 |
| James Joseph Faremouth Jr. | Family Medicine | 6135 Rattlesnake Hammock Rd, Naples, FL 34113-2912 | |
| Silvana Sapone | Physician Assistant | Leonard A Lado Md Pa | 9001 Tamiami Trail E, Naples, FL 34113-3304 |
| Leonard A Lado | Psychiatry | Leonard A Lado Md Pa | 9001 Tamiami Trail E, Naples, FL 34113-3304 |
| David C Waggoner | Psychiatry | 9001 Tamiami Trail E, Naples, FL 34113-3304 | |
| Mary C Coriano | Clinical Social Worker | 8901 Tamiami Trail E, Naples, FL 34113-3307 | |
| Amanda E Grant | Occupational Therapy | Healthpro Heritage Rehab and Fitness LLC | 5175 Tamiami Trail E, Naples, FL 34113-4100 |
| Lawrence J Egger | Physician Assistant | Panira Healthcare Clinic, Inc | 5039 Tamiami Trl E, Naples, FL 34113-4127 |
| Lewis Brodsky | Psychiatry | Lewis Brodsky Md Pa | 5067 Tamiami Trail E, Naples, FL 34113-4128 |
| Nana Mimura | Internal Medicine | 4915 Rattlesnake Hammock Rd, Suite 156, Naples, FL 34113-6959 | |
| Find all physicians in zip 34113 | |||
| City | NAPLES |
| Zip Code | 34113 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | NAPLES + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.