Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902116122 Individual Practitioner Female Practitioner

Andrea Wallace , PT

Physical Therapist • Port Huron, MI

Professional Overview & Biography Verified Profile Summary

Andrea Wallace, PT is a registered healthcare professional specializing in Physical Therapist in Port Huron, MI. Practice services are available at 1231 PINE GROVE AVE under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using manual technique, each, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, application of ultrasound, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1231 Pine Grove Ave
Suite 1a

Port Huron, MI 480603500

Telephone 8109856300
Associated Practice Facility / Clinic
🏢 Advanced Orthopedic Pllc Facility NPI 1790814986

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.7 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
42 Specialists

Practicing in Port Huron, MI (9693 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes
900 70 $65.00 $23.96
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
674 58 $60.00 $30.08
97035 Application of ultrasound, each 15 minutes
239 39 $50.00 $10.05
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
232 20 $50.00 $9.96
97161 Evaluation of physical therapy, typically 20 minutes
69 60 $150.00 $78.24
97032 Application of electrical stimulation with therapist present, each 15 minutes
21 14 $60.00 $13.73

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MI 5501010425

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

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

13 Associated Practitioners
Dr. Samir Alsawah , MD

Internal Medicine - Hematology & Oncology

NPI 1063453413

Doctor of Medicine (M.D.)

Dr. Ali Haidar , MD

Internal Medicine - Pulmonary Disease

NPI 1104892058

Doctor of Medicine (M.D.)

Dr. Jody Britz , DNP, FNP-BC

Nurse Practitioner - Adult Health

NPI 1164483707

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Dr. Anup Lal , MD

Internal Medicine - Hematology & Oncology

NPI 1184735300

Doctor of Medicine (M.D.)

Dr. Leonard Karadimas , DO

Orthopaedic Surgery

NPI 1194797654

Doctor of Osteopathic Medicine (D.O.)

Dr. Hussein Haidar , MD

Internal Medicine - Pulmonary Disease

NPI 1487280426

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 21, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2010

Registered at 1231 PINE GROVE AVE, SUITE 1A, PORT HURON, MI 480603500 (Tel: 8109856300)

📍
Updated Business Mailing Address October 21, 2010

Registered at 1231 PINE GROVE AVE, SUITE 1A, PORT HURON, MI 480603500 (Tel: 8109856300)

👤
Provider Name / Credentials Updated October 21, 2010

Recorded as ANDREA WALLACE, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2010

Physical Therapist (License #5501010425 in MI)

🟢
Initial NPI Registration & Enumeration October 21, 2010

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: 1902116122
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2010
Last Update: October 21, 2010
Sole Proprietor: No

Mailing Address

1231 Pine Grove Ave, Suite 1a

Port Huron, MI 480603500

Phone: 8109856300

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.