DONALD D WALLACE (NPI# 1497078893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497078893 |
| Entity Type | Individual |
| Full Name | DONALD D WALLACE |
| Credential | PT |
| Practice Address |
605 W State St First Floor Media PA 19063-2620 |
| Practice Telephone | 6105667424 |
| Practice Fax Number | 6108920489 |
| Mailing Telephone | 6105667424 |
| Mailing Fax Number | 6108920489 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT017196 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467888537 | Donald W Wallace | Hearing Instrument Specialist | 3 Mid Rivers Mall, Saint Peters, MO 63376-4301 | 2013-09-20 |
| 1295864304 | Donald Mcquire Wallace | Dentist | 3700 Old Forest Rd, Lynchburg, VA 24501-6900 | 2007-03-05 |
| 1891856738 | Donald John Wallace | Chiropractor | 127 Smithtown Blvd Ste 21, Nesconset, NY 11767-1736 | 2006-12-13 |
| 1316983372 | Donald K Wallace | Internal Medicine | 102 Gossman Rd, Southern Pines, NC 28387-2224 | 2006-06-20 |
| 1760944813 | Donald Mckinney Wallace | Behavior Technician | 6701 Democracy Blvd, Bethesda, MD 20817-1572 | 2019-04-05 |
| 1700899788 | Donald R. Wallace | Emergency Medicine | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 2006-08-14 |
| Street Address |
605 W STATE ST FIRST FLOOR |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205863198 | Daniel E Soffer | Internal Medicine | 605 W State St, Media, PA 19063-2620 | 2006-06-27 |
| 1871097246 | Kristin Leigh Stokotelny | Dietitian, Registered | 605 W State St, Media, PA 19063-2620 | 2018-03-21 |
| 1952837767 | Anna Marie Kanyuck | Family Medicine | 605 W State St, Media, PA 19063-2620 | 2017-05-11 |
| 1497290282 | Jessica Leigh Bergstrom | Physician Assistant | 605 W State St, Media, PA 19063-2620 | 2017-01-03 |
| 1649536905 | Cara L Kitaeff | Physician Assistant | 605 W State St, Media, PA 19063-2620 | 2012-04-11 |
| 1588975163 | Jamie Lee Paik | Internal Medicine | 605 W State St, Media, PA 19063-2620 | 2010-06-29 |
| 1851427058 | Adeyemi Daramola | Chiropractor | 605 W State St, Media, PA 19063-2620 | 2007-02-24 |
| 1740337013 | Aaron Edward Myers | Physical Therapist | 605 W State St, First Floor, Media, PA 19063-2620 | 2007-01-05 |
| 1174680474 | John Edward Mccarrin | Chiropractor | 605 W State St, Media, PA 19063-2620 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| 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 |
|---|---|---|---|---|
| 1871138321 | Amanda Mikolajczyk | Physical Therapist | 1118 W Baltimore Pike Ste 302, Media, PA 19063-6107 | 2019-11-07 |
| 1255723573 | Marcy Oneill | Physical Therapist | 600 N Jackson St Ste 301, Media, PA 19063-2530 | 2015-02-24 |
| 1558794180 | Jamie Musselman | Physical Therapist | 200 E State St Ste 108, Media, PA 19063-3434 | 2013-08-19 |
| 1396075099 | Susan T Boland | Physical Therapist | 201 N Jackson St Lowr Floor, Media, PA 19063-2926 | 2010-01-04 |
| 1801040449 | Sandra Lee Campbell | Physical Therapist | 201 Northbrook Dr, Media, PA 19063-5124 | 2008-11-10 |
| 1659575918 | Julia Vasko-rock | Physical Therapist | Bayada Home Health Care, 1023 East Baltimore Pike, Suite 303, Media, PA 19063 | 2007-06-12 |
| 1235250986 | Edna Santiago | Physical Therapist | 597 Manchester Ave, Media, PA 19063-3901 | 2007-04-02 |
| 1104945856 | Therapy Alternatives | Physical Therapist | 148 Lakeview Dr, Media, PA 19063-1016 | 2007-03-27 |
| 1891844320 | Carolyn Marie Kibelstis | Physical Therapist | 203 E Baltimore Ave, Media, PA 19063-3433 | 2007-01-10 |
| 1518057900 | Maryellen Dougherty | Physical Therapist | 203 E Baltimore Pike, Suite 2, Media, PA 19063-3433 | 2006-10-13 |
| Find all providers in MEDIA | ||||
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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.