BRIAN VENSON WALLACE DPT
NPI 1154677359
Physical Therapist in Ridgeland, MS

NPI Status: Active since July 25, 2012

Contact Information

711 AVIGNON DR
RIDGELAND, MS
ZIP 39157
Phone: (601) 605-6777
Fax: (601) 607-1553

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  • Individual
  • Male
  • Physical Therapist

About BRIAN WALLACE

This page provides the complete NPI Profile along with additional information for Brian Wallace, a provider established in Ridgeland, Mississippi with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1154677359 assigned on July 2012. The practitioner's primary taxonomy code is 225100000X with license number PT 4550 (MS). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1154677359
Provider Name
BRIAN VENSON WALLACE DPT
Gender
Male
Entity Type
Individual
Location Address
711 AVIGNON DR RIDGELAND, MS 39157
Location Phone
(601) 605-6777
Location Fax
(601) 607-1553
Mailing Address
711 AVIGNON DR RIDGELAND, MS 39157
Mailing Phone
(601) 605-6777
Mailing Fax
(601) 607-1553
Is Sole Proprietor?
Yes
Enumeration Date
07-25-2012
Last Update Date
07-25-2012
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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 Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT 4550
License State
MS
Taxonomy Description
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 perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154677359, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 2 + 7 + 1 + 4 + 3 + 1 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1154677359.

Other Providers at the Same Location


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

Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157
Speech-Language Pathologist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157
Occupational Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157
Occupational Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Speech-Language Pathologist
711 AVIGNON DR
RIDGELAND, MS 39157
Speech-Language Pathologist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157
Occupational Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157
Speech-Language Pathologist
711 AVIGNON DR
RIDGELAND, MS 39157
Speech-Language Pathologist
711 AVIGNON DR
RIDGELAND, MS 39157

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154677359, enumerated as an "individual" on July 25, 2012.

The provider is located at 711 AVIGNON DR RIDGELAND, MS 39157 and the phone number is (601) 605-6777.

Physical Therapist with taxonomy code 225100000X.