GARY ROBERT WALLACE PTA NPI 1003009184

Physical Therapy Assistant in Jackson, MS

NPI 1003009184 Individual Male Physical Therapy Assistant

About GARY WALLACE

Gary Wallace is a provider established in Jackson, Mississippi and his medical specialization is physical therapy assistant. The NPI number of Gary Wallace is 1003009184 and was assigned on August 2007. The practitioner's primary taxonomy code is 225200000X with license number A2636 (LA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Gary Wallace is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003009184

Provider Name GARY ROBERT WALLACE PTA
Provider Location Address13 NORTHTOWN DR TRINITY REHAB SUITE 110 JACKSON, MS 39211
Provider Mailing Address13 NORTHTOWN DR SUITE 110 TRINITY REHAB JACKSON, MS 39211
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-22-2007
Last Update Date08-22-2007


Primary Taxonomy

Taxonomy Code225200000X
ClassificationPhysical Therapy Assistant
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.A2636
License StateLA
Taxonomy Description(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Business Address

GARY ROBERT WALLACE PTA
13 NORTHTOWN DR
TRINITY REHAB SUITE 110
JACKSON, MS
ZIP 39211
Phone: (601) 206-9195
Fax: (601) 957-8391

Get Directions


Mailing Address

GARY ROBERT WALLACE PTA
13 NORTHTOWN DR
SUITE 110 TRINITY REHAB
JACKSON, MS
ZIP 39211
Phone: (601) 206-9195
Fax: (601) 957-8391



Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548218738PROVIDENCE HOSPICE, LLC
Organization
Hospice Care, Community Based13 NORTHTOWN DR SUITE 220
JACKSON, MS 39211
(601) 956-9755
1588759369TRINITY REHABILITATION INC
Organization
Physical Therapist13 NORTHTOWN DR SUITE 110
JACKSON, MS 39211
(601) 206-9195
1801089297 LORI CHANTAY STEEN OTR/L
Individual
Occupational Therapist13 NORTHTOWN DR SUITE 110 TRINITY REHAB
JACKSON, MS 39211
(601) 206-9195
1063605459 VICKI LAVERNE MERRITT CCC-SLP
Individual
Speech-Language Pathologist13 NORTHTOWN DR SUITE 110 TRINITY REHAB
JACKSON, ME 39211
(601) 206-9195
1669665048 JOHN THOMAS ALDRIDGE OTR/L
Individual
Occupational Therapist13 NORTHTOWN DR SUITE 110 TRINITY REHAB
JACKSON, MS 39211
(601) 206-9195
1114110590 DANA W HOLBROOK LPTA
Individual
Physical Therapy Assistant13 NORTHTOWN DR SUITE 110 TRINITY REHAB
JACKSON, MS 39211
(601) 206-9195
1922291301 RENEE A MADDOX RPT
Individual
Physical Therapist13 NORTHTOWN DR SUITE 110 TRINITY REHAB
JACKSON, MS 39211
(601) 206-9195
1003009481 BARBARA A WIGGINS OTR/L
Individual
Occupational Therapist13 NORTHTOWN DR SUITE 110 TRINITY REHAB
JACKSON, MS 39211
(601) 206-9195
1699968685 KATHLEEN KENNY CAGE MA CCC-SLP
Individual
Speech-Language Pathologist13 NORTHTOWN DR TRINITY REHAB SUITE 110
JACKSON, MS 39211
(601) 206-9195
1548453632 MARY KATHY WORTHY OTR/L
Individual
Occupational Therapist13 NORTHTOWN DR SUITE 110
JACKSON, MS 39211
(601) 206-9195
1558554659 JENNIFER AKERS MITCHELL MS, CCC-SLP
Individual
Speech-Language Pathologist13 NORTHTOWN DR SUITE 110
JACKSON, MS 39211
(601) 206-9195
1104019298 TAMMY A POWELL MS, CCC-SLP
Individual
Speech-Language Pathologist13 NORTHTOWN DR SUITE 110
JACKSON, MS 39211
(601) 206-9195
1730372822 LATRICIA EUBANKS MIMBS LPTA
Individual
Physical Therapy Assistant13 NORTHTOWN DR SUITE 110
JACKSON, MS 39211
(601) 206-9195
1750574737 LAUREN BROWN TAYLOR LPTA
Individual
Physical Therapy Assistant13 NORTHTOWN DR TRINITY REHAB SUITE 110
JACKSON, MS 39211
(601) 206-9195
1619160629 JESKA H SISK OTR/L
Individual
Occupational Therapist13 NORTHTOWN DR SUITE 110
JACKSON, MS 39211
(601) 206-9195
1225221385 MICHAEL LABUGA BRIONES OTR/L
Individual
Occupational Therapist13 NORTHTOWN DR SUITE 110
JACKSON, MS 39211
(601) 206-9195
1629261706 MICHELLE MARIE GUTIERREZ COTA
Individual
Occupational Therapy Assistant13 NORTHTOWN DR TRINITY REHAB SUITE 110
JACKSON, MS 39211
(601) 206-9195
1134312234 KESHA K JENKINS COTA/L
Individual
Occupational Therapy Assistant13 NORTHTOWN DR SUITE 110
JACKSON, MS 39211
(601) 206-9195
1285827279 ADRIENNE PERDUE GOLDEN CCC-SLP
Individual
Speech-Language Pathologist13 NORTHTOWN DR TRINITY REHAB SUITE 110
JACKSON, MS 39211
(601) 206-9195
1174716260 ELY ANTHONY GREEN OTA/L
Individual
Occupational Therapy Assistant13 NORTHTOWN DR SUITE 110
JACKSON, MS 39211
(601) 206-9195

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.