MRS. JUDY LYNN WALLIS (NPI# 1356558324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356558324 |
| Entity Type | Individual |
| Full Name | MRS. JUDY LYNN WALLIS |
| Credential | PTA |
| Practice Address |
Marywood Health Center 111 Lakeside Drive Ne Grand Rapids MI 49503 |
| Mailing Address |
8572 Mcarthur Ave Ne Greenville MI 48838-8372 |
| Practice Telephone | 6164537715 |
| Mailing Telephone | 6164814235 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 5502000688 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710147772 | Judy Werger Wallis | Counselor | 301 N Mall St, Lafayette, LA 70503-2219 | 2008-06-12 |
| Street Address |
MARYWOOD HEALTH CENTER 111 LAKESIDE DRIVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1447814082 | Nikunjkumar Prakashbhai Patel | Physical Therapy Assistant | 3370 Plainfield Ave Ne, Grand Rapids, MI 49525-2721 | 2019-04-29 |
| 1881195774 | Dawn Marie Kregel | Physical Therapy Assistant | 2589 44th St Se, Grand Rapids, MI 49512-3877 | 2018-02-26 |
| 1154763431 | Anna M Bennett | Physical Therapy Assistant | 473 Bayberry Pointe Dr Nw Apt A, Grand Rapids, MI 49534-8000 | 2013-07-26 |
| 1750640801 | Kelly Marie Wood | Physical Therapy Assistant | 933 3 Mile Rd Nw Ste 110, Grand Rapids, MI 49544-1673 | 2012-05-10 |
| 1447557186 | Sarah B Trent | Physical Therapy Assistant | 4260 Nature Trail Dr Se Apt 2a, Grand Rapids, MI 49512-3848 | 2011-02-15 |
| 1023270295 | Kevin Jon Eickhoff | Physical Therapy Assistant | 1140 Monroe Ave Nw Ste 150, Grand Rapids, MI 49503-1055 | 2008-06-30 |
| 1386803070 | Jeffrey Zagaroli | Physical Therapy Assistant | 2600 Pineview Dr Ne, Grand Rapids, MI 49525-6706 | 2008-06-06 |
| 1164533956 | Sheryl Ann Pylman | Physical Therapy Assistant | 2591 44th St Se, #101, Grand Rapids, MI 49512-9094 | 2006-08-31 |
| 1134120959 | Roseann Doney | Physical Therapy Assistant | 751 Kenmoor Ave Se, Suite H, Grand Rapids, MI 49546-2391 | 2005-08-02 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.