GARY ROBERT WALLACE PTA
NPI 1003009184
Physical Therapy Assistant in Jackson, MS

NPI Status: Active since August 22, 2007

Contact Information

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

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  • 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 healthcare provider is registered in the NPI registry with number 1003009184 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 17 years ago.

NPI
1003009184
Provider Name
GARY ROBERT WALLACE PTA
Gender
Male
Entity Type
Individual
Location Address
13 NORTHTOWN DR TRINITY REHAB SUITE 110 JACKSON, MS 39211
Location Phone
(601) 206-9195
Location Fax
(601) 957-8391
Mailing Address
13 NORTHTOWN DR SUITE 110 TRINITY REHAB JACKSON, MS 39211
Mailing Phone
(601) 206-9195
Mailing Fax
(601) 957-8391
Is Sole Proprietor?
No
Enumeration Date
08-22-2007
Last Update Date
08-22-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapy Assistant

Taxonomy Code
225200000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
A2636
License State
LA
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003009184
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030018116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 8 + 1 + 1 + 6 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1003009184 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

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
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
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
1841483948 DAWN OVERTON GARRARD OTA/L
Individual
Occupational Therapy Assistant13 NORTHTOWN DR SUITE 110
JACKSON, MS 39211
(601) 206-9195
1972796076 CARMEN LEIGH TAYLOR LPTA
Individual
Physical Therapy Assistant13 NORTHTOWN DR SUITE 110
JACKSON, MS 39211
(601) 206-9195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003009184, enumerated in the NPI registry as an "individual" on August 22, 2007

The provider is located at 13 Northtown Dr Trinity Rehab Suite 110 Jackson, Ms 39211 and the phone number is (601) 206-9195

The provider's speciality is Physical Therapy Assistant with taxonomy code 225200000X

This NPI record was last updated on August 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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