MISS DAPHNE WALLACE (NPI# 1043312226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043312226 |
| Entity Type | Individual |
| Full Name | MISS DAPHNE WALLACE |
| Credential | PT |
| Practice Address |
120 Oslo Cir Birmingham AL 35211-5965 |
| Practice Telephone | 2059443944 |
| Practice Fax Number | 2054134914 |
| Mailing Telephone | 2059443944 |
| Mailing Fax Number | 2054134914 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PTH4642 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS PROVIDER # FOR ARC | 51532180 | 01 |
| AL | BCBS | 515-30526 | 01 |
| AL | 890015770 | 05 |
| Street Address |
120 OSLO CIR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211-5965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346278918 | Anne Marie Oberheu | Physical Medicine & Rehabilitation | 120 Oslo Cir, Birmingham, AL 35211-5965 | 2006-06-30 |
| 1982188967 | Shelby Francis | Speech-Language Pathologist | 120 Oslo Cir, Birmingham, AL 35211-5965 | 2018-09-17 |
| 1760973192 | Shelby Rae Martin | Speech-Language Pathologist | 120 Oslo Cir, Birmingham, AL 35211-5965 | 2018-05-21 |
| 1003334467 | Katherine Seal | Speech-Language Pathologist | 120 Oslo Cir, Birmingham, AL 35211-5965 | 2017-09-06 |
| 1609238401 | Kayla Ann Mizell | Speech-Language Pathologist | 120 Oslo Cir, Birmingham, AL 35211-5965 | 2016-03-22 |
| 1477948156 | Rebecca H Harris | Speech-Language Pathologist | 120 Oslo Cir, Birmingham, AL 35211-5965 | 2015-03-31 |
| 1538412341 | United Ability Inc | Durable Medical Equipment & Medical Supplies | 120 Oslo Cir, Birmingham, AL 35211-5965 | 2012-10-17 |
| 1104114255 | United Ability Inc | Physical Medicine & Rehabilitation | 120 Oslo Cir, Birmingham, AL 35211-5965 | 2011-07-11 |
| 1598050197 | Melissa Vankirk Pouncey | Speech-Language Pathologist | 120 Oslo Cir, Birmingham, AL 35211-5965 | 2011-06-13 |
| 1851681001 | Brittany Hodge Nessmith | Physical Therapist | 120 Oslo Cir, Birmingham, AL 35211-5965 | 2011-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124351895 | Stephanie K Orr | Physical Therapist | 1601 6th Ave S, Birmingham, AL 35233-1717 | 2009-09-14 |
| 1437284106 | Mary Patrice Murphy | Physical Therapist | 700 Century Park S, Suite 128, Birmingham, AL 35226-3943 | 2007-02-22 |
| 1831294420 | Kristi Renneker | Physical Therapist | 234 Goodwin Crest Dr, Birmingham, AL 35209-3701 | 2006-09-14 |
| 1295351096 | Abigail Scott Crenshaw Sasser | Physical Therapist | 1208 3rd Ave S, Birmingham, AL 35233-1311 | 2020-06-18 |
| 1689186967 | Anne Grace Schmidtke | Physical Therapist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2017-10-26 |
| 1952840480 | Jane Keith | Physical Therapist | 1600 7th Ave S, Dearth Tower Ste 5602 Mcwane, Birmingham, AL 35233-1711 | 2017-02-16 |
| 1790235521 | Haley Mcdonald | Physical Therapist | 1600 7th Ave S, Birmingham, AL 35233 | 2016-10-05 |
| 1538565544 | Mabry Fisher | Physical Therapist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2014-11-18 |
| 1619373156 | Katie S Roberts | Physical Therapist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2014-11-11 |
| 1740554831 | Jonathan Adam Knott | Physical Therapist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-03-07 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
Please comment or provide details below to improve the information on MISS DAPHNE WALLACE.
| 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.