SHAWNLY ELISE WALLACE PT
NPI 1619187788
Physical Therapist in Tacoma, WA

NPI Status: Active since May 23, 2007

Contact Information

4020 S 56TH ST STE 101
TACOMA, WA
ZIP 98409
Phone: (253) 475-6862

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  • Individual
  • Female
  • Physical Therapist

About SHAWNLY WALLACE

This page provides the complete NPI Profile along with additional information for Shawnly Wallace, a provider established in Tacoma, Washington with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1619187788 assigned on May 2007. The practitioner's primary taxonomy code is 225100000X with license number PT00005001 (WA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1619187788
Provider Name
SHAWNLY ELISE WALLACE PT
Gender
Female
Entity Type
Individual
Location Address
4020 S 56TH ST STE 101 TACOMA, WA 98409
Location Phone
(253) 475-6862
Mailing Address
25813 68TH AVE E GRAHAM, WA 98338
Mailing Phone
(253) 820-8816
Is Sole Proprietor?
No
Enumeration Date
05-23-2007
Last Update Date
07-08-2007
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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 Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT00005001
License State
WA
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PT00005001OTHER (01)WAPHYSICAL THERAPY LICENSE

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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.
1619187788
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26292814716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 2 + 8 + 1 + 4 + 7 + 1 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1619187788 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619187788, enumerated as an "individual" on May 23, 2007.

The provider is located at 4020 S 56TH ST STE 101 TACOMA, WA 98409 and the phone number is (253) 475-6862.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.