MS. MANDY L WALLACE (NPI# 1962776948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962776948 |
| Entity Type | Individual |
| Full Name | MS. MANDY L WALLACE |
| Credential | MSRPT |
| Practice Address |
121 E Cedar St Florence SC 29506-2576 |
| Mailing Address |
1465 Norwood Rd Olanta SC 29114-9533 |
| Practice Telephone | 8436613426 |
| Practice Fax Number | 8436613599 |
| Mailing Telephone | 8436872068 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 4051 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
121 E CEDAR ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506-2576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656294 | Regency Hospital Company of South Carolina, LLC | Long Term Care Hospital | 121 E Cedar St, 4th and 5th Floor, Florence, SC 29504 | 2005-08-11 |
| 1699248195 | Medical University Hospital Authority | Rehabilitation Unit | 121 E Cedar St, Florence, SC 29506-2576 | 2019-01-07 |
| 1811385032 | Govindappa LLC | Internal Medicine | 121 E Cedar St, 4th Floor, Florence, SC 29506-2576 | 2014-12-23 |
| 1578961918 | Elaine Cordeiro | Occupational Therapist | 121 E Cedar St, Florence, SC 29506-2576 | 2014-12-17 |
| 1467726620 | Gaye Jordan | Physical Therapist | 121 E Cedar St, Florence, SC 29506-2576 | 2012-03-05 |
| 1508145616 | Pamela Alsberry | Physical Therapist | 121 E Cedar St, Florence, SC 29506-2576 | 2011-08-07 |
| 1649561549 | Regency Hospital Company of South Carolina, L.L.C. | Surgery | 121 E Cedar St, 4th and 5th Floor, Florence, SC 29506-2576 | 2011-04-26 |
| 1215237037 | Mary E Evans | Occupational Therapy Assistant | 121 E Cedar St, Florence, SC 29506-2576 | 2010-10-26 |
| 1457516213 | Mark L. Barnard Md LLC | Internal Medicine | 121 E Cedar St, Florence, SC 29506-2576 | 2008-07-22 |
| 1740314681 | Qhg of South Carolina Inc | Psychiatric Unit | 121 E Cedar St, Florence, SC 29506 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
| 1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
| 1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
| 1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
| 1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
| 1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
| 1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
| 1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
| 1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
| Find all providers in zip 29506 | ||||
| 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 |
|---|---|---|---|---|
| 1255949020 | Alex G Woodard | Physical Therapist | 2904 Mall Rd, Florence, AL 35630-1641 | 2020-07-17 |
| 1477183606 | Briana Shandel | Physical Therapist | 7536 Us Highway 42 Ste 2, Florence, KY 41042-1946 | 2020-01-15 |
| 1386122331 | Mary Caitlin Stevenson-wilcoxson | Physical Therapist | 168 Ana Dr Ste B, Florence, AL 35630-1771 | 2018-08-01 |
| 1083110076 | Brian Kass | Physical Therapist | 1010 Olive Avenue, Florence, WI 54121 | 2018-03-30 |
| 1174022990 | Nicholas Ryan Bibeau | Physical Therapist | 4374 East Butte Avenue, Florence, AZ 85132 | 2018-02-07 |
| 1144676883 | Alexander Contner | Physical Therapist | 9671 Manassas Dr, Florence, KY 41042-8318 | 2016-05-12 |
| 1871951129 | David Barnes | Physical Therapist | 1913 Carolina Wren Ct, Florence, SC 29501-8141 | 2016-02-02 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1114322807 | Affinity Physical Therapy, LLC | Physical Therapist | 350 S Main Street, Florence, AZ 85132 | 2014-10-24 |
| 1265849467 | Rosemary Lynne Morgan-lee | Physical Therapist | 3340 Young Charles Dr, Florence, SC 29501-8272 | 2014-07-20 |
| Find all providers in FLORENCE | ||||
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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.