Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053359208 Individual Practitioner Male Practitioner

Clinton Barrett Wallis , OT

Specialist • Mobile, AL

Professional Overview & Biography Verified Profile Summary

Clinton Wallis, OT is a registered healthcare professional specializing in Specialist in Mobile, AL. Practice services are available at 709 DOWNTOWNER LOOP W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

709 Downtowner Loop W

Mobile, AL 366095503

Telephone 2513801111
Fax 2513801110
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mobile, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.8 Yrs
State Avg: 34.8 Yrs
Regional Practice Density
62 Specialists

Practicing in Mobile, AL (611 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AL 2224

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs Provider Number
51514463 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
James Mcculloch , ATC

Specialist/Technologist - Athletic Trainer

NPI 1134657489

Certified Athletic Trainer

NPI 1689903247

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 24, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2007

Registered at 709 DOWNTOWNER LOOP W, MOBILE, AL 366095503 (Tel: 2513801111)

📍
Updated Business Mailing Address August 24, 2007

Registered at 709 DOWNTOWNER LOOP W, MOBILE, AL 366095503 (Tel: 2513801111)

👤
Provider Name / Credentials Updated August 24, 2007

Recorded as CLINTON WALLIS, O.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2007

Specialist (License #2224 in AL)

🟢
Initial NPI Registration & Enumeration June 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053359208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2006
Last Update: August 24, 2007
Sole Proprietor: No

Mailing Address

709 Downtowner Loop W

Mobile, AL 366095503

Phone: 2513801111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.