GRACE E WALLACE (NPI# 1841841384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841841384 |
| Entity Type | Individual |
| Full Name | GRACE E WALLACE |
| Credential | DPT |
| Practice Address |
21550 Harrington St Ste D Clinton Twp MI 48036-2362 |
| Mailing Address |
1773 Star Batt Dr Rochester Hills MI 48309-3708 |
| Practice Telephone | 5867837590 |
| Mailing Telephone | 2486019207 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501019380 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548749328 | Grace Wallace | Occupational Therapy Assistant | 2210 W Dallas St Apt 1522, Houston, TX 77019-4356 | 2018-08-12 |
| 1154836401 | Grace Wallace | Technician | 711 Greenbrier Creek Road, Fort Gay, WV 25514 | 2017-12-08 |
| 1598140485 | Grace Wallace | Occupational Therapist | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2015-07-21 |
| Street Address |
21550 HARRINGTON ST STE D |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48036-2362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710494885 | Amber A Samojedny | Physical Therapist | 21550 Harrington St Ste D, Clinton Twp, MI 48036-2362 | 2018-01-10 |
| 1982219283 | Paul Maron Ibri | Physical Therapist | 21550 Harrington St Ste D, Clinton Twp, MI 48036-2362 | 2020-09-14 |
| 1174097356 | Marissa J Ogboh | Physical Therapist | 21550 Harrington St Ste D, Clinton Twp, MI 48036-2362 | 2019-01-22 |
| 1376026963 | Kyle Alexander Suminski | Physical Therapist | 21550 Harrington St Ste D, Clinton Twp, MI 48036-2362 | 2018-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| 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 |
|---|---|---|---|---|
| 1134767049 | Qasim Khan | Physical Therapist | 16655 15 Mile Rd Ste B, Clinton Twp, MI 48035-5522 | 2019-12-11 |
| 1962974402 | Care Continuum, LLC | Physical Therapist | 35746 Harper Avenue, Clinton Twp, MI 48035 | 2018-12-21 |
| 1730663212 | Marie Rene Mets | Physical Therapist | 15501 Metro Pkwy, Clinton Twp, MI 48036-1684 | 2018-09-20 |
| 1942797683 | Movement Physical Therapy LLC | Physical Therapist | 43475 Dalcoma, Suite 140, Clinton Twp, MI 48038-3550 | 2018-04-18 |
| 1710494885 | Amber A Samojedny | Physical Therapist | 21550 Harrington St Ste D, Clinton Twp, MI 48036-2362 | 2018-01-10 |
| 1104241959 | Daniel Masin Harvey | Physical Therapist | 40097 S Groesbeck Hwy, Clinton Twp, MI 48036-5000 | 2014-03-03 |
| 1366671620 | Nicole A Kirkendall | Physical Therapist | 44925 Morley Dr, Clinton Twp, MI 48036-1354 | 2009-07-08 |
| 1295962629 | Nikha Khanna | Physical Therapist | 42250 Hayes Rd, Clinton Twp, MI 48038-3637 | 2009-06-11 |
| 1326297896 | Martha Vanblerk | Physical Therapist | 43628 Garfield Rd, Clinton Twp, MI 48038-1120 | 2008-09-09 |
| 1801062914 | Gregory Ralph Snyder | Physical Therapist | 18791 Fifteen Mile Rd, Clinton Twp, MI 48035-2503 | 2008-05-08 |
| Find all providers in CLINTON TWP | ||||
| City | CLINTON TWP |
| Zip Code | 48036 |
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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.