Ryan L Wallace (NPI# 1154795078, PAC ID# 4486947553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1154795078 |
| PAC ID by PECOS | 4486947553 |
| Professional Enrollment ID | I20160823001737 |
| Full Name | Ryan L Wallace |
| Organization Legal Name | WALLACE PHYSICAL THERAPY PC |
| Address |
5501 N Oracle Rd Suite 101 Tucson AZ 85704-3850 |
| Phone Number | 5204089547 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2466436464 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5501 N Oracle Rd, Suite 101, Tucson, AZ 85704-3850 | 5204089547 | WALLACE PHYSICAL THERAPY PC |
| Organization Legal Name | WALLACE PHYSICAL THERAPY PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad C Casselman | Physical Therapy | Wallace Physical Therapy PC | 5501 N Oracle Rd, Suite 101, Tucson, AZ 85704-3850 |
| Robert D Wallace | Physical Therapy | Wallace Physical Therapy PC | 1925 W Orange Grove Rd, Suite 204, Tucson, AZ 85704-1151 |
| Katie L Modafferi | Physical Therapy | Wallace Physical Therapy PC | 5501 N Oracle Rd, Suite 101, Tucson, AZ 85704-3850 |
| Marcia K Ellis | Physical Therapy | Wallace Physical Therapy PC | 5501 N Oracle Rd, Suite 101, Tucson, AZ 85704-3850 |
| Monica A Norfleet | Physical Therapy | Wallace Physical Therapy PC | 5501 N Oracle Rd, Suite 101, Tucson, AZ 85704-3850 |
| Street Address |
5501 N ORACLE RD SUITE 101 |
| City | TUCSON |
| State | AZ |
| Zip | 85704-3850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad C Casselman | Physical Therapy | Wallace Physical Therapy PC | 5501 N Oracle Rd, Suite 101, Tucson, AZ 85704-3850 |
| Katie L Modafferi | Physical Therapy | Wallace Physical Therapy PC | 5501 N Oracle Rd, Suite 101, Tucson, AZ 85704-3850 |
| Marcia K Ellis | Physical Therapy | Wallace Physical Therapy PC | 5501 N Oracle Rd, Suite 101, Tucson, AZ 85704-3850 |
| Monica A Norfleet | Physical Therapy | Wallace Physical Therapy PC | 5501 N Oracle Rd, Suite 101, Tucson, AZ 85704-3850 |
| Darlene M Mcmillon | Nurse Practitioner | Medical Diagnostic Centers Inc | 5501 N Oracle Rd, Tucson, AZ 85704-3851 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Teubner | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Mohamed Coulibaly Dit Fall | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Jeneane M Keller | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Elisa N Gumm | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Kim A Greenwood | Nurse Practitioner | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Timothy R Berigan | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Victoria O Soyannwo | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Rainier Jose Diaz | Psychiatry | Sonora Behavioral Health Hospital LLC | 6050 N Corona Rd, Tucson, AZ 85704-1096 |
| Baldassarre Stea | Radiation Oncology | Banner University Medical Group | 1891 W Orange Grove Rd, Tucson, AZ 85704-1116 |
| Mohammad R Khreiss | Surgical Oncology | Banner University Medical Group | 1891 W Orange Grove Rd, Bldg 1, Tucson, AZ 85704-1116 |
| Find all physicians in zip 85704 | |||
| City | TUCSON |
| Zip Code | 85704 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | TUCSON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Ryan L Wallace.
| 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.