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Deactivated NPI 1205261468 Deactivated / Inactive NPI Male Practitioner

Andrew Kelly Wallace

Physical Therapy Assistant • Gainesville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Andrew Wallace has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 06, 2013
NPI Deactivation Date October 25, 2023
Total Practice Duration ~10 Years of Practice (2013 – 2023)

Professional Overview & Biography Verified Profile Summary

Andrew Wallace was a registered Physical Therapy Assistant practicing in Gainesville, FL. Throughout an active medical career spanning 10 years, Andrew Wallace provided care at the practice location at 6700 NW 10TH PL until profile deactivation on 2023-10-25.

Practice Location & Contact Primary Location

Practice Address

6700 Nw 10th Pl

Gainesville, FL 326054213

Telephone 3523116280
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Gainesville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.5 Yrs
Regional Practice Density
74 Specialists

Practicing in Gainesville, FL (5997 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

Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License FL 24216

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Practice Associates & Co-Workers

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

28 Associated Practitioners
Lydia Hillman , OTR, L, CLT

Occupational Therapist

NPI 1013326826

Occupational Therapist Registered, L, Certified Lymphedema Therapist

Antoine Dobson

Occupational Therapy Assistant

NPI 1073041968
Richard Buck , COTA, L

Occupational Therapy Assistant

NPI 1124458658

Certified Occupational Therapy Assistant, L

Deanna Philman , PTA

Physical Therapy Assistant

NPI 1174908453

Physical Therapist Assistant

Melanie Hall , PTA

Physical Therapy Assistant

NPI 1215302138

Physical Therapist Assistant

Jennifer Acevedo , PTA

Physical Therapy Assistant

NPI 1245774140

Physical Therapist Assistant

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 25, 2023

Record deactivated on October 25, 2023

NPI Profile Active September 06, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 06, 2013

Registered at 6700 NW 10TH PL, GAINESVILLE, FL 326054213 (Tel: 3523116280)

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Updated Business Mailing Address September 06, 2013

Registered at 6700 NW 10TH PL, GAINESVILLE, FL 326054213 (Tel: 3523116280)

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Provider Name / Credentials Updated September 06, 2013

Recorded as ANDREW WALLACE

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2013

Physical Therapy Assistant (License #24216 in FL)

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Initial NPI Registration & Enumeration September 06, 2013

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: 1205261468
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2013
Last Update: September 06, 2013
Deactivation Date: October 25, 2023

Mailing Address

6700 Nw 10th Pl

Gainesville, FL 326054213

Phone: 3523116280

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.