MRS. MISTY W WALLACE (NPI# 1174761951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174761951 |
| Entity Type | Individual |
| Full Name | MRS. MISTY W WALLACE |
| Credential | PT |
| Practice Address |
903 W Main St Yadkinville NC 27055-7807 |
| Mailing Address |
706 Eatons Church Rd Mocksville NC 27028-4738 |
| Practice Telephone | 3366798863 |
| Mailing Telephone | 3369983331 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 11970 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427342856 | Misty Wallace | Behavioral Analyst | 3140 W Britton Rd, Ste 204, Oklahoma City, OK 73120-2074 | 2011-06-02 |
| Street Address |
903 W MAIN ST |
| City | YADKINVILLE |
| State | NC |
| Zip Code | 27055-7807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750358628 | Yadkin Nursing Care Center, Inc. | Skilled Nursing Facility | 903 W Main St, Yadkinville, NC 27055-7807 | 2006-03-01 |
| 1437791829 | Madeline Claire Huff | Occupational Therapist | 903 W Main St, Yadkinville, NC 27055-7807 | 2019-10-17 |
| 1174178313 | Liberty Healthcare Group, LLC | Assisted Living Facility | 903 W Main St, Yadkinville, NC 27055-7807 | 2019-08-05 |
| 1104471549 | Liberty Healthcare Group, LLC | Assisted Living Facility | 903 W Main St, Yadkinville, NC 27055-7807 | 2019-08-02 |
| 1750845616 | Denny E Bischof | Occupational Therapist | 903 W Main St, Yadkinville, NC 27055-7807 | 2019-01-24 |
| 1851879597 | Matthew A Cain | Physical Therapy Assistant | 903 W Main St, Yadkinville, NC 27055-7807 | 2018-08-03 |
| 1275056475 | Thomas James Dunning | Physical Therapy Assistant | 903 W Main St, Yadkinville, NC 27055-7807 | 2017-07-19 |
| 1316475585 | Julie Levie Winters | Physical Therapist | 903 W Main St, Yadkinville, NC 27055-7807 | 2017-05-31 |
| 1164967881 | Anthony Sexton | Physical Therapy Assistant | 903 W Main St, Yadkinville, NC 27055-7807 | 2017-01-04 |
| 1295120913 | Jennifer Trotter | Occupational Therapist | 903 W Main St, Yadkinville, NC 27055-7807 | 2015-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011484 | Children's Center of Surry, Inc. | Community/Behavioral Health | 117 S Jackson St, Yadkinville, NC 27055 | 2018-01-18 |
| 1548651128 | Express Care of Yadkin LLC | Nurse Practitioner | 755 South State Street, Yadkinville, NC 27055 | 2015-02-18 |
| 1437579331 | Sarah Noe | Nurse Practitioner | 129 W Main Street, Yadkinville, NC 27055 | 2014-04-18 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1730433731 | Healthstat- Unifi Yadkinville Plant 5 | Preventive Medicine | 1032 Unifi Industrial Rd., Yadkinville, NC 27055 | 2012-10-30 |
| 1891012126 | The Center-a Strategic Interventions Facility | Community/Behavioral Health | 1012 Glenway Dr, Yadkinville, NC 27055 | 2010-04-27 |
| 1316152143 | Yadkin County Council On Aging, Inc. | Health Maintenance Organization | 108 E Elm Steet, Yadkinville, NC 27055 | 2007-05-14 |
| 1063633741 | Susan L Sawyers | Counselor | Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 | 2007-05-01 |
| 1912026576 | Yadkin County Dss | Case Management | 205 E. Main St, Yadkinville, NC 27055 | 2007-03-28 |
| 1992824429 | Health Services Unlimited Inc. | Home Health | 105 S Jackson St, Yadkinville, NC 27055 | 2007-03-28 |
| Find all providers in zip 27055 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1487691390 | Yadkin Physical Therapy, L.L.C. | Physical Therapist | 102 Woodlyn Dr, Yadkinville, NC 27055-6673 | 2006-05-31 |
| 1700343712 | Kaleb Alan Hill | Physical Therapist | 102 Woodlyn Dr, Yadkinville, NC 27055-6673 | 2019-02-26 |
| 1316475585 | Julie Levie Winters | Physical Therapist | 903 W Main St, Yadkinville, NC 27055-7807 | 2017-05-31 |
| 1912255688 | Jeanie M Rhyne | Physical Therapist | 102 Woodlyn Dr, Yadkinville, NC 27055-6673 | 2012-08-28 |
| 1154616738 | Hope Fox Cole | Physical Therapist | 102 Woodlyn Dr, Yadkinville, NC 27055-6673 | 2011-06-13 |
| 1710121835 | Sarah Snyder Diehl | Physical Therapist | 102 Woodlyn Dr, Yadkinville, NC 27055-6673 | 2009-04-21 |
| 1962680124 | Suzanne M James | Physical Therapist | 102 Woodlyn Dr, Yadkinville, NC 27055-6673 | 2008-02-09 |
| 1235317405 | Denise Maria Steele | Physical Therapist | 102 Woodlyn Dr, Yadkinville, NC 27055-6673 | 2008-02-09 |
| 1841230596 | Lisa Joy Deyoung | Physical Therapist | 102 Woodlyn Dr, Yadkinville, NC 27055-6673 | 2006-06-08 |
| 1619917176 | Deborah Lynn Snyder | Physical Therapist | 102 Woodlyn Dr, Yadkinville, NC 27055-6673 | 2006-06-06 |
| Find all providers in YADKINVILLE | ||||
| City | YADKINVILLE |
| Zip Code | 27055 |
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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.