BRIDGETT D'ANN WALLACE


Address: 7900 Shoal Creek Blvd, Suite 200, Austin, TX 78757-8037
Phone: 5123454664

BRIDGETT D'ANN WALLACE (NPI# 1063451375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063451375
Entity Type Individual
Full Name BRIDGETT D'ANN WALLACE
Credential PT
Practice Address 7900 Shoal Creek Blvd
Suite 200
Austin
TX 78757-8037
Mailing Address 5608 Parkcrest Dr
Ste 100
Austin
TX 78731-4972
Practice Telephone 5123454664
Practice Fax Number 5123456150
Mailing Telephone 5123454664
Mailing Fax Number 5123456150
Enumeration Date 2006-06-05
Last Update Date 2019-01-31
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251N0400X Physical Therapist
Specialization: Neurology
1104610 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS INDIVIDUAL # 86683T 01
TX BCBS GROUP # 0050HV 01
TX PHCS PROVIDER # 030384821 01
TX TEXAS TRUE CHOICE 030384821 01
TX HUMANA 030384821 01

Office Location

Street Address 7900 SHOAL CREEK BLVD
SUITE 200
City AUSTIN
State TX
Zip Code 78757-8037

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528186764 Sandra Kaye Wing Physical Therapist 7900 Shoal Creek Blvd, Suite 200, Austin, TX 78757-8037 2007-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518518927 Mark D Newberry Pharmacist 8500 Shoal Creek Blvd Bldg 3 Ste 200, Austin, TX 78757 2019-09-26
1972063634 Napa Center Usa, LLC Physical Therapist 8640 Burnet Rd, Austin, TX 78757 2019-03-20
1013493071 Anna Cathleen Mccormack Pharmacist 2525 W Anderson Lane Bldg 2, Austin, TX 78757 2018-07-12
1336633379 Claire Siegel Dietitian, Registered 7421 Burnet Rd # 269, Austin, TX 78757 2018-06-21
1619372687 Krishna Gc Nurse Practitioner 7950 Anderson Square Suite 108, 225, Austin, TX 78757 2014-11-03
1447669874 Nicholas Dale Taylor Psychologist 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 2014-08-11
1396155404 Onsite Chiropractic, Pllc Chiropractor 1929 Payton Gin Rd., Ste E, Austin, TX 78757 2014-04-29
1578994703 Greentree Health Pain Management Pain Medicine 8900 Shoal Creek Bvld, Bldg 200, Austin, TX 78757 2013-12-13
1457692139 Harbor Hospice of Georgetown, Lp Hospice Care, Community Based 7800 Shoal Creek Boulevard, Suite 105n, Austin, TEXAS 78757 2013-03-06
1821335852 Janet Lee Cook Acupuncturist 8303 Shoal Creek Boulevard, Austin, TX 78757 2013-01-10
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Taxonomy Information

Taxonomy Code 2251N0400X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Neurology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972063634 Napa Center Usa, LLC Physical Therapist 8640 Burnet Rd, Austin, TX 78757 2019-03-20
1780150953 Hannah Karine Zabel Physical Therapist 919 E 32nd St, Austin, TX 78705-2703 2018-10-15
1598245235 Kristel Kay Louis Physical Therapist 9050 N Capital of Texas Hwy Ste 130, Austin, TX 78759-7268 2018-08-21
1780018150 Donna Abrameit Physical Therapist 5555 N Lamar Blvd, Ste L 103, Austin, TX 78751-1073 2013-08-21
1033357017 Jeanne Broussard Ballinger Physical Therapist 5555 N Lamar Blvd, Ste L 103, Austin, TX 78751-1073 2009-01-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356973275 Sunil Mathew Physical Therapist 3012 Double Creek Dr, Grapevine, TX 76051-4251 2020-02-08
1205317286 Felicia Youngblood Physical Therapist 8615 Lullwater Dri, Dallas, TX 75238 2018-08-27
1982133799 Alishia Lindsay Schmitt Physical Therapist 6913 Camp Bowie Blvd Ste 141, Fort Worth, TX 76116-7165 2017-06-06
1770953655 Alicia Danto Physical Therapist 3601 N Macgregor Way Ste 512, Houston, TX 77004-8004 2015-10-05
1154737740 Michael Furtado Physical Therapist 411 W 14th St, Houston, TX 77008-4111 2014-07-03
1801225289 Zahra Kadivar Physical Therapist 11626 Royal Oaks Vw, Houston, TX 77082-2842 2013-11-05
1912247032 Jesly Lopez Physical Therapist 12055 Sabo Rd Apt 1017, Houston, TX 77089-6290 2013-02-26
1164710943 Joseph Gerard Rauma Physical Therapist 221 Rosa Ln, Nacogdoches, TX 75965-1911 2011-07-14
1013207802 Terri Lynn Moore Physical Therapist 411 N Washington Ave Ste 4000, Dallas, TX 75246-1776 2011-04-13
1053628776 Kelly Twohey-byrne Physical Therapist 4141 Sw Fwy Ste 100, Houston, TX 77027-7330 2010-09-01
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Competitor

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City AUSTIN
Zip Code 78757

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Dataset Information

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.

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