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Active NPI 1003009184 Individual Practitioner Male Practitioner

Gary Robert Wallace , PTA

Physical Therapy Assistant • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Gary Wallace, PTA is a registered healthcare professional specializing in Physical Therapy Assistant in Jackson, MS. Practice services are available at 13 NORTHTOWN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13 Northtown Dr
Trinity Rehab Suite 110

Jackson, MS 39211

Telephone 6012069195
Fax 6019578391
Associated Practice Facility / Clinic
🏢 Providence Hospice, Llc Facility NPI 1548218738

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
50 Specialists

Practicing in Jackson, MS (570 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 LA A2636

(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

40 Associated Practitioners
Barbara Wiggins , OTR, L

Occupational Therapist

NPI 1003009481

Occupational Therapist Registered, L

Dayna Lombas , LOTR

Occupational Therapist

NPI 1013100197
Molli Fee

Speech-Language Pathologist

NPI 1013839364
Britton Hogue

Occupational Therapy Assistant

NPI 1033045257
Leanna Baker , MED, CCC-SLP

Speech-Language Pathologist

NPI 1053503623

Master of Education, Speech-Language Pathologist (Certificate of Clinical Competence)

Terry Evans

Physical Therapy Assistant

NPI 1063391944

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 22, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2007

Registered at 13 NORTHTOWN DR, TRINITY REHAB SUITE 110, JACKSON, MS 39211 (Tel: 6012069195)

📍
Updated Business Mailing Address August 22, 2007

Registered at 13 NORTHTOWN DR, SUITE 110 TRINITY REHAB, JACKSON, MS 39211 (Tel: 6012069195)

👤
Provider Name / Credentials Updated August 22, 2007

Recorded as GARY WALLACE, PTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2007

Physical Therapy Assistant (License #A2636 in LA)

🟢
Initial NPI Registration & Enumeration August 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003009184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2007
Last Update: August 22, 2007
Sole Proprietor: No

Mailing Address

13 Northtown Dr, Suite 110 Trinity Rehab

Jackson, MS 39211

Phone: 6012069195

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.