Tamera Walley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33054 Issued in CA

Practice address

1903 E Fir Ave
Fresno, CA 93720-3862

Phone

(559) 322-1703

Fax

(559) 322-1793

NPI assigned

Oct 9, 2024

Last updated

Oct 30, 2024By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crume Physical Therapy, IncGroup PAC ID 1557428794, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Crume Physical Therapy, Inc

  dba First Choice Physical Therapy

  • Physical Therapist
  • Fresno, CA
  • NPI 1366687816
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1184443756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25042",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295042",
            "telephone_number": "559-322-1703",
            "fax_number": "559-322-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 E FIR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203862",
            "telephone_number": "559-322-1703",
            "fax_number": "559-322-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLEY",
        "first_name": "TAMERA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Wallace
• Melissa Sue Wallace, SUDCC
• Suzanne Wallace, LCSW
• Corenna Louise Waller
• Maggie Reed Walley, MT-BC
• David Wallick
• Sherry Muterspaugh Walling, PH.D.
• Emerson Bertram Walls, DO
• Walmart Inc. (Walmart Pharmacy 10-2001)
• Walmart Inc. (WalMart Pharmacy 10-2689)

• Physical Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.