COLLIN WILLIAM WALLACE (NPI# 1568830719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568830719 |
| Entity Type | Individual |
| Full Name | COLLIN WILLIAM WALLACE |
| Credential | DPT |
| Practice Address |
2349 Sunset Point Rd Ste 400 Clearwater FL 33765-1439 |
| Mailing Address |
3903 Northdale Blvd Ste 111w Tampa FL 33624-1853 |
| Practice Telephone | 9703718965 |
| Mailing Telephone | 8138058167 |
| Mailing Fax Number | 8442141382 |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2016-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 30787 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2349 SUNSET POINT RD STE 400 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33765-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138028 | Necati Brian Ekren | Physical Therapy Assistant | 2349 Sunset Point Rd Ste 400, Clearwater, FL 33765-1439 | 2020-09-08 |
| 1316558232 | John Tyler Briggs | Physical Therapist | 2349 Sunset Point Rd Ste 400, Clearwater, FL 33765-1439 | 2020-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023654449 | Seawa Enterprise LLC | Durable Medical Equipment & Medical Supplies | 1802 North Belcher Road, Suite 100, Clearwater, FL 33765 | 2019-11-20 |
| 1962996140 | Jeremy Scott Martin | Clinic/Center | 2481 N.e. Coachman Rd, Clearwater, FL 33765 | 2018-06-20 |
| 1891172078 | Comprehensive Surgery Center LLC | Clinic/Center | 407 Aurora Ave, Clearwater, FL 33765 | 2015-04-27 |
| 1184050411 | Anthony Richard Cheslock | Dentist | 1831 Belcher Road North, 1-b, Clearwater, FL 33765 | 2013-09-18 |
| 1548609522 | Andrew S Cormier | Optometrist | 2288 Drew Street, Suite B, Clearwater, FL 33765 | 2013-06-23 |
| 1124372412 | Kelly Ann Potts | Acupuncturist | 112 Evelyn Avenue, Clearwater, FL 33765 | 2012-11-08 |
| 1235402876 | Jerry N Karasick | Chiropractor | 901 N. Hercules Ave, Ste C, Clearwater, FL 33765 | 2012-02-13 |
| 1538329362 | Aei Diagnostic Imaging LLC | Clinic/Center | 1831 N Belcher Road, D Building, Clearwater, FLORIDA 33765 | 2008-06-16 |
| 1700053311 | Loredana Repetto | Social Worker | 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 | 2008-05-13 |
| 1679741920 | Kussel & Associates Inc. | Podiatrist | 2378 Sunset Point Rd, Clearwater, FL 33765 | 2008-02-20 |
| Find all providers in zip 33765 | ||||
| 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 |
|---|---|---|---|---|
| 1942814777 | Thomas Sherman | Physical Therapist | 1249 Eldridge St, Clearwater, FL 33755-4312 | 2020-08-31 |
| 1861021958 | Breakthru Therapy and Wellness LLC | Physical Therapist | 2022 Hillwood Dr, Clearwater, FL 33763-1315 | 2020-04-02 |
| 1841768900 | Christopher Pasqual | Physical Therapist | 612 Druid Rd E Ste D, Clearwater, FL 33756-3912 | 2018-11-07 |
| 1659862233 | Marguerite Thompson | Physical Therapist | 2244 Steven St, Clearwater, FL 33759-1419 | 2018-05-19 |
| 1205330537 | Catherine Mitchell-caballero | Physical Therapist | 13630 58th St N Ste 103b, Clearwater, FL 33760-3734 | 2018-03-21 |
| 1861906836 | Emilee Sobucki | Physical Therapist | 29605 Us Highway 19 N Ste 360, Clearwater, FL 33761-1539 | 2017-11-28 |
| 1740705300 | Riddhi Desai | Physical Therapist | 14330 58th St N Apt 7202, Clearwater, FL 33760-2823 | 2017-08-04 |
| 1396269510 | Renee L Davis | Physical Therapist | 13630 58th St N Ste 103c, Clearwater, FL 33760-3734 | 2017-07-30 |
| 1477081461 | Danielle Lynn Rodgers | Physical Therapist | 73 N Park Place Blvd Ste 102, Clearwater, FL 33759-3917 | 2017-06-02 |
| 1780077842 | Tara Greene | Physical Therapist | 2790 Gulf To Bay Blvd, Clearwater, FL 33759-4959 | 2015-03-13 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33765 |
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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.