AMANDA WALLACE (NPI# 1578097341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578097341 |
Entity Type | Individual |
Full Name | AMANDA WALLACE |
Credential | DPT |
Practice Address |
2115 Dulles Dr Lafayette LA 70506-2652 |
Mailing Address |
106 Stable Creek Dr Lafayette LA 70506-5021 |
Practice Telephone | 3379819182 |
Enumeration Date | 2017-04-18 |
Last Update Date | 2017-04-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225100000X | Physical Therapist | 08545 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518249838 | Amanda Daniel Wallace | Physician Assistant | 655 Jesse Jewell Pkwy Se Ste B, Gainesville, GA 30501-3854 | 2011-09-13 |
1366635245 | Amanda Wallace | Counselor | 1907 Kristy Ct, Longmont, CO 80504-7387 | 2007-08-23 |
1952808024 | Amanda Marie Wallace | Case Manager/Care Coordinator | 205 Main St E, Mohall, ND 58761-4014 | 2018-04-06 |
1306345848 | Amanda Cheyenne Wallace | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2018-02-11 |
1972015659 | Amanda Wallace | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-11-02 |
1154844041 | Amanda Gail Wallace | Nurse Practitioner | 142 Depot Dr, South Shore, KY 41175-9306 | 2017-07-21 |
1649665977 | Amanda Rose Wallace | Psychiatry & Neurology | 525 E 68th St, New York, NY 10065 | 2015-04-03 |
1972908010 | Amanda Jo Wallace | Psychologist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2014-10-31 |
1578964888 | Amanda Leigh Wallace | Speech-Language Pathologist | 928 W Market St, Tiffin, OH 44883-2529 | 2014-09-07 |
1053725952 | Amanda Wallace | Speech-Language Pathologist | 40w310 Lafox Rd, Suite A1/b1, St Charles, IL 60175-6588 | 2014-06-18 |
Street Address |
2115 DULLES DR |
City | LAFAYETTE |
State | LA |
Zip Code | 70506-2652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740259928 | Brian Soignier | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2006-03-17 |
1972024081 | Mts-lgh Therapy Services LLC | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2017-06-28 |
1033645494 | John Joseph Broussard | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2017-05-04 |
1093191108 | Byrnes Tatford | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2015-07-31 |
1821479379 | Sarah Prejean | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2015-06-10 |
1528027596 | Mike Sheffield | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2006-03-20 |
1356310569 | Dusti Neck | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2006-03-17 |
1790754984 | Ellen Devalcourt | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2006-03-17 |
1245209436 | Mcleod-trahan-sheffield Physical Therapy Services, Inc. | Clinic/Center | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2006-03-17 |
1578532743 | Roxanne Touchet | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2006-03-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
Find all providers in zip 70506 |
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 |
---|---|---|---|---|
1992342901 | Sol Shine Physical Therapy LLC | Physical Therapist | 420 Strathmore Ln Apt 104, Lafayette, CO 80026-2164 | 2019-12-09 |
1952948663 | Sri Satya P Medidhi | Physical Therapist | 325 Oil Center Dr, Lafayette, LA 70503-2419 | 2019-12-02 |
1639735871 | Christopher K Primeaux | Physical Therapist | 110 Hermitage Ave, Lafayette, LA 70503-6626 | 2019-05-14 |
1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
1932666419 | Jonah Mason Johnson | Physical Therapist | 701 Robley Dr Ste 135, Lafayette, LA 70503-5223 | 2019-02-21 |
1215407556 | Accelerated Rehabiliation Centers Ltd | Physical Therapist | 210 S Creasy Ln Ste 2160, Lafayette, IN 47905-0763 | 2018-11-29 |
1235605882 | Angela Bailey | Physical Therapist | 2592 Stonewall Ln, Lafayette, CO 80026-3471 | 2018-10-22 |
1598249351 | Rachel Wernke | Physical Therapist | 401 N College Rd Ste 1b, Lafayette, LA 70506-4263 | 2018-09-18 |
1760971121 | Tonya D Creasy | Physical Therapist | 505 Ellington Dr Ste A, Lafayette, TN 37083-1074 | 2018-05-01 |
1659885903 | Casey Nolen | Physical Therapist | 2727 Kaliste Saloom Rd Ste 101, Lafayette, LA 70508-7164 | 2017-11-24 |
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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.