Wall Therapy Solutions LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WALL THERAPY SOLUTIONS LLC

Practice address

19104 Canyon Creek PL
Edmond, OK 73012-3148

Phone

(405) 882-8847

Fax

(405) 708-6095

NPI assigned

Dec 12, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jesse Joel Wall, PTNPI 1215409917

Title

Physical Therapist/Owner

Phone

(405) 882-8847

Specialties & licenses 1

Addresses

Other names 1

• Therapy At Home Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Wall

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1215409917
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1033820816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19104 CANYON CREEK PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730123148",
            "telephone_number": "405-882-8847",
            "fax_number": "405-708-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19104 CANYON CREEK PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730123148",
            "telephone_number": "405-882-8847",
            "fax_number": "405-708-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "405-882-8847",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillip A Walker, O.D.
• Sara Walker, CCC
• Steven Walker, DPM
• Tamara Walker, BBCD, BBCI, BBCPPD
• Amanda Jewel Walkup, B.S.
• Asia Gwen-Nae Wallace
• Courtney Wallace
• Eliza Nyree Wallace
• Jason Wallace, D.D.S.
• Kelly Love Wallace, M. ED.

• Physical Therapist in Edmond, OK
• Providers in Edmond, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.