G
IndividualActive
Gary Robert Wallace
PTA
Physical Therapy Assistant
NPI: 1003009184Jackson, Mississippi, 39211(601) 206-9195Male
About Gary Robert Wallace
Gary Robert Wallace, PTA, is a male healthcare professional specializing in Physical Therapy Assistant, registered under National Provider Identifier (NPI) number 1003009184. Their primary practice is located at 13 NORTHTOWN DR, Jackson, Mississippi 39211.
Patients can reach the office at (601) 206-9195. Gary Robert Wallace has been NPI-registered since 2007.
Doctor Details
Identity & Credentials
- NPI Number
- 1003009184
- Entity Type
- Individual
- First Name
- Gary
- Last Name
- Wallace
- Credential
- PTA
- Gender
- Male
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 13 NORTHTOWN DR
- City
- Jackson
- State
- Mississippi
- ZIP
- 39211
- Country
- United States
- Phone
- (601) 206-9195
- Fax
- (601) 957-8391
Specialty & Taxonomy
- Primary Specialty
- Physical Therapy Assistant
- Classification
- Physical Therapy Assistant
- Taxonomy Code
- 225200000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 13 NORTHTOWN DR
- City
- JACKSON
- State
- MS
- ZIP
- 39211
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Gary Robert Wallace's NPI number?
Gary Robert Wallace's National Provider Identifier (NPI) is 1003009184. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Gary Robert Wallace specialize in?
Gary Robert Wallace specializes in Physical Therapy Assistant.
Where is Gary Robert Wallace located?
Gary Robert Wallace practices at 13 NORTHTOWN DR, Jackson, Mississippi 39211. You can reach them by phone at (601) 206-9195.
Does Gary Robert Wallace accept Medicare?
Based on available data, Gary Robert Wallace is not currently enrolled in the Medicare program.
Does Gary Robert Wallace offer telehealth or virtual visits?
Gary Robert Wallace does not currently offer telehealth services. In-person visits are required at their practice location.
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Gary Robert Wallace is 1003009184.