Gloria L Wall, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03353 Issued in LA

Practice address

4715 Perkins Rd
Baton Rouge, LA 70808-3040

Phone

(225) 923-0110

Fax

(225) 923-0111

NPI assigned

Jan 17, 2008

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 LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MC2 Enterprises, LLCGroup PAC ID 4587682018, 2 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 and National Provider Directory roles.

• MC2 Enterprises, LLC

  • Child Physical Disabilities Respite Care
  • Baton Rouge, LA
  • NPI 1326176629
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1194901439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083040",
            "telephone_number": "225-923-0110",
            "fax_number": "225-923-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083040",
            "telephone_number": "225-923-0110",
            "fax_number": "225-923-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "GLORIA",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Walker
• Woodrow Walker
• Walkers Life Transportation LLC
• Deanna Wall, LCSW, C-SSWS
• Germaine E Wall, CRNFA
• Oralayna N Wall
• Steven Wall, DNP-NA
• Austin H Wallace, PA
• Chloie Wallace
• Delania Michelle Wallace

• Physical Therapist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.