IAN WALLACE (NPI# 1699385708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699385708 |
| Entity Type | Individual |
| Full Name | IAN WALLACE |
| Practice Address |
10475 Perry Hwy Ste 106g Wexford PA 15090-9213 |
| Mailing Address |
7 Carnegie Plz Cherry Hill NJ 08003-1000 |
| Practice Telephone | 8774073422 |
| Practice Fax Number | 8774074329 |
| Mailing Telephone | 8774073422 |
| Mailing Fax Number | 8774074329 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC016573 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063732758 | Ian Wallace | Family Medicine | 3291 Loma Vista Rd Rm 120, Ventura, CA 93003-3099 | 2010-06-04 |
| 1770011124 | Ian Wallace | Case Manager/Care Coordinator | 151 W Brundage St, Sheridan, WY 82801-4217 | 2017-05-30 |
| 1942514930 | Ian Wallace | Genetic Counselor, MS | 1620 Se Summit Ct, Pullman, WA 99163-5540 | 2010-08-02 |
| 1013143262 | Ian Joseph Wallace | Psychologist | 200 Maritime Academy Dr, The California Maritime Academy, Student Health Service, Vallejo, CA 94590-8181 | 2009-06-02 |
| Street Address |
10475 PERRY HWY STE 106G |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-9213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1932700374 | Megan Szatkiewicz | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090-9213 | 2020-11-03 |
| 1043810732 | Emma Bacco | Speech-Language Pathologist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090-9213 | 2020-10-30 |
| 1407456767 | Kimberly Paulus | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090-9213 | 2020-10-27 |
| 1750998217 | Olivia Grube | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090-9213 | 2020-09-29 |
| 1629681366 | Nikki Singley | Physical Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090-9213 | 2020-08-24 |
| 1285245183 | Danae Peters | Physical Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090-9213 | 2020-08-13 |
| 1295345015 | Andrea Forney | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090-9213 | 2020-08-06 |
| 1407465925 | Hannah Gordy | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090-9213 | 2020-07-30 |
| 1669006672 | Caryn Exley | Physical Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090-9213 | 2020-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
| 1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
| 1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
| 1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
| 1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
| 1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
| 1952714362 | Charles Jaicks | Chiropractor | 3000 Village Run Rd. Suite 106, Wexford, PA 15090 | 2014-06-04 |
| Find all providers in zip 15090 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402862 | Erin Mcgrady | Occupational Therapist | 12300 Perry Hwy Ste 100, Wexford, PA 15090-8318 | 2018-10-10 |
| 1194226621 | Devon A Aleszczyk | Occupational Therapist | 10475 Perry Hwy Ste G, Wexford, PA 15090-9274 | 2018-02-21 |
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1164751897 | Pramita Anil Shenoy | Occupational Therapist | 5500 Brooktree Rd Ste 102, Wexford, PA 15090-9260 | 2009-12-08 |
| 1275657959 | Whitney Steinmetz | Occupational Therapist | 8950 Old Perry Hwy, Wexford, PA 15090 | 2007-03-19 |
| 1932700374 | Megan Szatkiewicz | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090-9213 | 2020-11-03 |
| 1407456767 | Kimberly Paulus | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090-9213 | 2020-10-27 |
| 1164029328 | Madison Blunkosky | Occupational Therapist | 12300 Perry Hwy, Wexford, PA 15090-8379 | 2020-10-01 |
| 1750998217 | Olivia Grube | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090-9213 | 2020-09-29 |
| 1023620176 | Stacey Danko | Occupational Therapist | 12311 Perry Hwy, Wexford, PA 15090-8344 | 2020-08-20 |
| Find all providers in WEXFORD | ||||
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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.