KASSY ARLENE WALLACE PT, DPT
NPI 1790456614
Physical Therapist - Orthopedic in Cadillac, MI

Q: What is Kassy Wallace's NPI number?

The NPI number for Kassy Wallace is 1790456614. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Q: What is Kassy Wallace's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Kassy Wallace was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2021Accepts Medicare Assignment

8872 PROFESSIONAL DR STE C, CADILLAC, MI 49601(231) 876-0010(231) 876-0241 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 18, 2022, Sep 21, 2021 (2 updates tracked since 2021).

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About Kassy Arlene Wallace Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSY ARLENE WALLACE PT, DPT (NPI 1790456614) is an individual orthopedic provider in Cadillac, Michigan, licensed in Michigan (5501301778) and active in the NPI registry since September 2021. She maintains a secondary practice location in Kingsley and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790456614

Entity TypeIndividualFemale

Primary Taxonomy2251X0800X

Provider Legal NameKASSY ARLENE WALLACECredential: PT, DPT

Location Address8872 PROFESSIONAL DR STE CCadillac, MI 49601-8482

Mailing Address8872 Professional Dr Ste CCadillac, MI 49601-8482 · (231) 876-0010 · Fax (231) 876-0241

Phone(231) 876-0010

Fax(231) 876-0241

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 21, 2021

Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration

NPPES CertifiedAugust 18, 2022

✔ NPI 1790456614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in MI · 5501301778

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8872 PROFESSIONAL DR STE C, Cadillac, MI 49601

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Secondary Practice Location 1

Location 14040 Beacon StKingsley, MI 49649-9548 · Phone (231) 263-1350

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kassy Arlene Wallace Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971987983

PECOS Enrollment IDI20220824003633

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

591 services57 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

348 services55 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

209 services44 patients

Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283

Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.

123 services29 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

90 services13 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

37 services32 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACHARY JOHNSON DPT

Physical Therapist