MRS. JUDY LYNN WALLIS PTA
NPI 1356558324
Physical Therapy Assistant in Grand Rapids, MI

NPI Status: Active since May 17, 2007

Contact Information

MARYWOOD HEALTH CENTER
111 LAKESIDE DRIVE NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 453-7715

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  • Individual
  • Female
  • Physical Therapy Assistant

About JUDY WALLIS

This page provides the complete NPI Profile along with additional information for Judy Wallis, a provider established in Grand Rapids, Michigan with a medical specialization in Physical Therapy Assistant. The healthcare provider is registered in the NPI registry with number 1356558324 assigned on May 2007. The practitioner's primary taxonomy code is 225200000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1356558324
Provider Name
MRS. JUDY LYNN WALLIS PTA
Gender
Female
Entity Type
Individual
Location Address
MARYWOOD HEALTH CENTER 111 LAKESIDE DRIVE NE GRAND RAPIDS, MI 49503
Location Phone
(616) 453-7715
Mailing Address
8572 MCARTHUR AVE NE GREENVILLE, MI 48838
Mailing Phone
(616) 481-4235
Is Sole Proprietor?
Yes
Enumeration Date
05-17-2007
Last Update Date
12-07-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapy Assistant

Taxonomy Code
225200000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapy Assistant

5502000688 (MI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356558324
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231061051634
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 1 + 6 + 3 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1356558324 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356558324, enumerated in the NPI registry as an "individual" on May 17, 2007

The provider is located at Marywood Health Center 111 Lakeside Drive Ne Grand Rapids, Mi 49503 and the phone number is (616) 453-7715

The provider's speciality is Physical Therapy Assistant with taxonomy code 225200000X

This NPI record was last updated on May 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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