Martha E Wallace, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1057529 Issued in TX

Practice address

4343 N Josey LN
Carrollton, TX 75010-4603

Phone

(972) 394-2232

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Martha H Ramirez Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bir JV LLP

  dba Baylor Institute for Rehabilitation

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901
  NPD (past)
• Select Physical Therapy Texas Limited Partnership

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Houston, TX
  • NPI 1356304323
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1073695722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104603",
            "telephone_number": "972-394-2232",
            "fax_number": "972-512-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104603",
            "telephone_number": "972-394-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3912 10th St SE",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983742188",
            "country_code": "US",
            "telephone_number": "253-848-4700",
            "fax_number": "253-848-2284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 W 15th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750754736",
            "country_code": "US",
            "telephone_number": "972-867-7675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 N Denton Tap Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750192010",
            "country_code": "US",
            "telephone_number": "972-899-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "MARTHA",
        "middle_name": "E",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007049",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1057529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marwallace@bswrehab.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4343 N Josey Ln",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750104603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "RAMIREZ",
            "middle_name": "H",
            "credential": "BS,PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauryn Grace Walker
• Melissa Davis Walker, LMFT
• Rheatossiea Walker
• Samantha Susan Walker, LPC-A
• James S. Wallace, D.D.S.
• Lori Deann Walsh
• Robin Neal Walters, DOCTOR OF PHARMACY
• Chong Wang, PHD
• Jian Wang, MD
• Deborah F Wardell, M.D.

• Physical Therapist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.