Karen Ann Wallis, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

MI001945 Issued in MI

Practice address

2665 Shefman Ter
Ann Arbor, MI 48105-3441

Phone

(734) 973-6473

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pediatric Therapy Associates

  • Speech-Language Pathologist
  • Ann Arbor, MI
  • NPI 1013036086
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174643613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 3RD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034902",
            "telephone_number": "734-665-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 SHEFMAN TER",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053441",
            "telephone_number": "734-973-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "MI001945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kempland Walley
• Emily Byrnes Walling, M.D.
• Cassaundra Rose Wallington, DO
• Melina Wallington
• Christine Wallis, PT, DPT, NCS
• Margarete Aryanka Wallner, MD
• Alyssa Walsh, PT, DPT
• Ashley Walsh
• Cherie Kristine Walsh, R.N.
• Jessica Walsh, DIPL.OM.

• Physical Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.