Jim Wallace, PT

ActiveIndividual ProviderPhysical Therapy
NPI issued: June 6, 2007

Quick Facts

NPI Number
1194928481
TypeIndividual
StatusActive
SpecialtyPhysical Therapy
Taxonomy2251X0800X — Physical Therapy
Phone
(541) 318-7041
StateOR

NPI Validation Status: Verified

Valid 10-digit NPI number (1194928481)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 6, 2007)
Data source: CMS NPPES

Provider Overview

JIM WALLACE, PT is a Physical Therapy provider based in Bend, OR who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1194928481
Provider TypeIndividual Provider
GenderMale
CredentialPT
StatusActive
Enumeration DateJune 6, 2007

Practice Location

CityBend
StateOR
ZIP Code97701-4264
Phone(541) 318-7041

Specialties & Licenses

★ Primary
SpecialtyPhysical Therapy
Taxonomy Code2251X0800X
License StateOR

Mailing Address

CityBend
StateOR
ZIP Code97701-4264
Phone(541) 318-7041
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1194928481 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1194928481for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1194928481 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physical Therapy

Specialists in Physical Therapy provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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12,325
Physical Therapy Providers in the US

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People Also Ask

What is Jim Wallace's NPI number?
Jim Wallace's NPI number is 1194928481, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jim Wallace's NPI currently active?
Yes, Jim Wallace's NPI status is Active as of the latest CMS NPPES database updates.
What does Jim Wallace specialize in?
Jim Wallace specializes in Physical Therapy. The healthcare taxonomy code associated with this specialty is 2251X0800X.
Where does Jim Wallace practice?
Jim Wallace practices in Bend, OR 97701-4264.
When was Jim Wallace's NPI issued?
Jim Wallace's NPI was issued on June 6, 2007.
What is Jim Wallace's provider type?
Jim Wallace is registered as an Individual Provider under CMS NPI Type 1.