Wallace Physical Therapy, Pllc in Homer - Physical Therapist
Wallace Physical Therapy, Pllc - NPI 1992721450
Wallace Physical Therapy, Pllc is a Physical Therapist in Homer, New York. Wallace Physical Therapy, Pllc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Wallace Physical Therapy, Pllc is 1992721450. The last update date is 2008-09-11.
Wallace Physical Therapy, Pllc's current location address is 59a James St, Homer, New York. You can contact this provider via phone number 3154164327 and fax number 6077495618. The mailing address for Wallace Physical Therapy, Pllc is 59a James St, Homer, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wallace Physical Therapy, Pllc |
|---|---|
| Address | 59a James St, Homer, New York |
| Phone Number | 3154164327 |
| Fax Number | 6077495618 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wallace H Sandi |
| Credentials | PT |
| Telephone Number | 3154164327 |
NPI Number Detail
| NPI Number | 1992721450 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2008-09-11 |
Provider Mailing Address Detail
| Address | 59a James St |
|---|---|
| City | Homer |
| State | New York (NY) |
| Post Code | 130771222 |
| Phone Number | 3154164327 |
| Fax Number | 6077495618 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 017462-1 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2458611 | NY | -- | |
| 364724 | NY | MVP | |
| P00162216 | NY | MEDICAR RAILROAD | |
| 158099 | NY | EXCELLUS |
Post Comment/ Review Below
What is the unique identifier code issued to Wallace Physical Therapy, Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Wallace Physical Therapy, Pllc has been assigned the NPI (National Provider Identifier) 1992721450. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Wallace Physical Therapy, Pllc's facilities are geographically located?
The facilities of Wallace Physical Therapy, Pllc are physically situated at the following location: 59A James St, Homer, NY, 130771222.
What is the Wallace Physical Therapy, Pllc's specialty and taxonomy code?
The Wallace Physical Therapy, Pllc's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Wallace Physical Therapy, Pllc receive its 1992721450 assignment from the Centers for Medicare & Medicaid Services?
The Wallace Physical Therapy, Pllc was assigned its 1992721450 by the Centers for Medicare & Medicaid Services on 2006-07-15.
When was the information regarding Wallace Physical Therapy, Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Wallace Physical Therapy, Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-09-11.
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