MRS. LAURIE ANN WALLACE (NPI# 1770704306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770704306 |
| Entity Type | Individual |
| Full Name | MRS. LAURIE ANN WALLACE |
| Credential | MPT, ATC |
| Practice Address |
130 Loma Vista Dr Burlingame CA 94010 |
| Mailing Address |
130 Loma Vista Dr Burlingame CA 94010-6005 |
| Practice Telephone | 7723214992 |
| Mailing Telephone | 7723214992 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 42268 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | PT18527 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL617 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 438 Wisnom Ave, San Mateo, CA 944012422 | 7723214992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083891287 | Laurie Wallace | Speech-Language Pathologist | 24 Pole Plain Rd, Sharon, MA 02067-1741 | 2008-01-30 |
| 1316076367 | Laurie J Wallace | Dietitian, Registered | 10615 Cliffside St, Bakersfield, CA 93311-3718 | 2007-03-05 |
| 1831686369 | Laurie Meagan Wallace | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2018-04-19 |
| 1033542170 | Laurie A. Wallace | Nurse Practitioner | 2156 Chamber Center Dr, Lakeside Park, KY 41017-1669 | 2013-08-13 |
| 1326261579 | Laurie J Wallace | Physician Assistant | 1312 Middle Country Rd, Selden, NY 11784-2526 | 2007-04-10 |
| 1699716613 | Laurie Wallace | Emergency Medicine | 28050 Grand River Ave, Er Department, Farmington Hills, MI 48336-5919 | 2006-06-09 |
| Street Address |
130 LOMA VISTA DR |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071850 | Jilla Lavian | Social Worker | 1240 Lakeview Drive, San Mateo, CA 94010 | 2020-07-23 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1184182248 | Primrose Healing and Wellness, Inc. | Marriage & Family Therapist | 405 Primrose Rd, #320, Burlingame, CA 94010 | 2019-03-07 |
| 1720508724 | Monazza Chaudhry | Pharmacist | 1828 El Camino Real #104, Burlingame, CA 94010 | 2017-06-21 |
| 1861804007 | Heidi Platt | Counselor | 826 Mahler Road, Burlingame, CA 94010 | 2014-05-22 |
| 1144662685 | Scarlett M Reyes | Counselor | 1818 Gilbreth Road, Suite 230, Womens Recovery Association, Burlingame, CA 94010 | 2013-07-25 |
| 1760821979 | Elliot Naidus | Internal Medicine | 1720 El Camino Real Ste 150, Burlingame, CA 94010 | 2013-06-20 |
| 1831430651 | Huddleston Care, LLC | In Home Supportive Care | 1364 Drake Avenue, Burlingame, CA 94010 | 2013-03-04 |
| 1891070843 | Linda Susan Notario | Pharmacist | 260 El Camino Raal, Burlingame, CA 94010 | 2011-10-20 |
| 1063794006 | Tram Anh Le | Pharmacist | 260 N El Camino Real, Burlingame, CA 94010 | 2011-09-15 |
| Find all providers in zip 94010 | ||||
| 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 |
|---|---|---|---|---|
| 1710494661 | Natalie Anikouchine Amundsen | Physical Therapist | 1875 Trousdale Dr, Burlingame, CA 94010-4509 | 2018-01-01 |
| 1295196814 | Aaron Gatuz | Physical Therapist | 111 Anza Blvd Ste 104, Burlingame, CA 94010-1932 | 2016-03-09 |
| 1497160493 | Minica Cheng | Physical Therapist | 1633 Bayshore Hwy Ste 145, Burlingame, CA 94010-1530 | 2014-06-27 |
| 1972891703 | Georgina Ann Vasiloudis | Physical Therapist | 125 Bloomfield Rd, Burlingame, CA 94010-4113 | 2011-07-14 |
| 1619101615 | Dana L Dye | Physical Therapist | 1740 Marco Polo Way Ste 3, Burlingame, CA 94010-4500 | 2009-05-06 |
| 1679669758 | Marie Christine Morales | Physical Therapist | 1545 Bayshore Hwy, Burlingame, CA 94010-1602 | 2006-10-05 |
| 1841381639 | Stevan Allen | Physical Therapist | 1860 El Camino Real Ste 201, Burlingame, CA 94010-3111 | 2006-09-27 |
| 1316054471 | Grace Magpantay Meneses | Physical Therapist | 1740 Marco Polo Way Ste 11, Burlingame, CA 94010-4500 | 2006-08-24 |
| 1780654020 | Janice Coakley | Physical Therapist | 1740 Marco Polo Way, Suite 3, Burlingame, CA 94010-4500 | 2006-01-26 |
| 1447873302 | Carelink Home Health Agency, LLC | Physical Therapist | 851 Burlway Rd Ste 608, Burlingame, CA 94010-1715 | 2020-05-26 |
| Find all providers in BURLINGAME | ||||
| City | BURLINGAME |
| Zip Code | 94010 |
Please comment or provide details below to improve the information on MRS. LAURIE ANN WALLACE.
| 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.