Carlee Louisa Fayeth Wallen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008623 Issued in KY

Practice address

2835 S Highway 27 Ste 286B
Somerset, KY 42501-3062

Phone

(606) 302-2831

NPI assigned

Aug 9, 2022

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)

Enrolled

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.

• WCH Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Monticello, KY
  • NPI 1194434696
  NPD

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1235867284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 S HIGHWAY 27 STE 286B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013062",
            "telephone_number": "606-302-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 S HIGHWAY 27 STE 286B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013062",
            "telephone_number": "606-302-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLEN",
        "first_name": "CARLEE",
        "middle_name": "LOUISA FAYETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Cecile Nora Walker, ARNP
• Jessica Walker, PTA
• Alexis D Wallace, CPSS
• Mary Beth Waller
• Carly E Walls
• Chonna Lynn Walsh, APRN, FNP-BC
• Jamie Walters
• Kaylee Walters

• Physical Therapist in Somerset, KY
• Providers in Somerset, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.