DR. TIFFANY DAWN WALLACE DPT
NPI 1689802662
Physical Therapist - Orthopedic in Lake Mary, FL
NPI Status: Active since June 29, 2009
Contact Information
701 PLATINUM PT
LAKE MARY, FL
ZIP 32746
Phone: (407) 206-4500
Fax: (407) 643-2802
- Individual
- Female
- Physical Therapist
- Orthopedic
- Accepts Insurance
About TIFFANY WALLACE
This page provides the complete NPI Profile along with additional information for Tiffany Wallace, a provider established in Lake Mary, Florida with a medical specialization in Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1689802662 assigned on June 2009. The practitioner's primary taxonomy code is 2251X0800X with license number PT24764 (FL). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1689802662
- Provider Name
- DR. TIFFANY DAWN WALLACE DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 701 PLATINUM PT LAKE MARY, FL 32746
- Location Phone
- (407) 206-4500
- Location Fax
- (407) 643-2802
- Mailing Address
- 701 PLATINUM PT LAKE MARY, FL 32746
- Mailing Phone
- (407) 206-4500
- Mailing Fax
- (407) 643-2802
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-29-2009
- Last Update Date
- 04-12-2022
- Code Navigator
Location Map
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 Therapist Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT24764
- License State
- FL
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 24764 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
- AvMed Entrust Silver 550 (2025) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
- AvMed Entrust Silver Standard (2025) - HMO
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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. | |||||||||
| 1 | 6 | 8 | 9 | 8 | 0 | 2 | 6 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 16 | 0 | 4 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 6 + 0 + 4 + 6 + 1 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1689802662 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770582405 | DR. JOHN R. CHASE M.D. Individual | Orthopaedic Surgery | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4500 |
| 1548374770 | MR. IVAN R REPASS PA-C Individual | Physician Assistant | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4500 |
| 1689174591 | DR. JOE LOUIS PRINCE II DPT Individual | Physical Therapist | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4500 |
| 1003815812 | DR. MICHAEL V. JABLONSKI M.D. Individual | Orthopaedic Surgery | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4500 |
| 1528174786 | MR. JOSEPH C TUTORINO MD Individual | Orthopaedic Surgery | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4500 |
| 1407050404 | DR. LUIS A GANDARA M.D. Individual | Physical Medicine & Rehabilitation (Sports Medicine) | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4500 |
| 1467885947 | ELIZABETH NICOLE YAW PT Individual | Physical Therapist | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 246-4500 |
| 1093162471 | ANGELA LAUREN WADSWORTH Individual | Physical Therapist (Orthopedic) | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4590 |
| 1528606480 | DR. JACOB IAN SHEPPARD DPT Individual | Physical Therapist (Orthopedic) | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4500 |
| 1124354246 | MS. KRISTINA LEE LINARES MS OTR/L Individual | Occupational Therapist (Hand) | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4500 |
| 1619294329 | DR. SHEYAN J ARMAGHANI MD Individual | Orthopaedic Surgery | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4500 |
| 1033846241 | KELSIE CHURCH PT, DPT Individual | Physical Therapist (Sports) | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 338-3161 |
| 1598805897 | MRS. GAIL KELLEY MACDONALD MSPT Individual | Physical Therapist | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4590 |
| 1164103164 | ADAM WOODHEAD DPT Individual | Physical Therapist | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4590 |
| 1194508010 | ALICIA ANN TOMBERLIN DPT Individual | Physical Therapist | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 338-3161 |
| 1366505273 | MRS. LAURI JILL GOLDBERG-CAYADO PT Individual | Physical Therapist (Orthopedic) | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4590 |
| 1346613676 | MRS. SHIVALI P MANIAR PA-C Individual | Physician Assistant (Surgical) | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4500 |
| 1407232101 | VIRGINIA COBB STEVENS PT Individual | Physical Therapist (Orthopedic) | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4590 |
| 1235955980 | CHRISTOPHER LEE Individual | Physical Therapist (Orthopedic) | 701 PLATINUM PT LAKE MARY, FL 32746 (407) 206-4590 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689802662, enumerated in the NPI registry as an "individual" on June 29, 2009
The provider is located at 701 Platinum Pt Lake Mary, Fl 32746 and the phone number is (407) 206-4500
The provider's speciality is Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic
The provider might be accepting Accepts: Aetna CVS Health, AvMed, Cigna Healthcare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 29, 2009. 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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