Lindsey Avery Wallace, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.61256288 Issued in WA

Practice address

406 Central Ave S
Quincy, WA 98848-1226

Phone

(208) 596-6929

NPI assigned

Apr 20, 2022

Last updated

Apr 20, 2022By 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 WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grant County Public Hospital District No. 3Group PAC ID 6709775166, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbia Basin Hospital Hospital, Ephrata, WA, CCN 501317

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lindsey.wallace.1@15048.direct.athenahealth.com

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.

• Grant County Public Hospital District 3

  dba Columbia Basin Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Ephrata, WA
  • NPI 1134283930
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grant County Public Hospital District No. 3

  dba Columbia Basin Hospital

  • Critical Access Hospital
  • Ephrata, WA
  • NPI 1811979610
  Care Compare affiliation

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1255075800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 Q ST SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988487802",
            "telephone_number": "208-596-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CENTRAL AVE S",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481226",
            "telephone_number": "208-596-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Nat Washington Way",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "WA",
            "postal_code": "988231982",
            "country_code": "US",
            "telephone_number": "208-596-6929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "LINDSEY",
        "middle_name": "AVERY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.61256288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Tran
• Robin Trost, ARNP, FNP-BC
• Sullivan M Turner, NRP
• Sonia Ann Valdez, BA
• Jose C Virrueta Espindola
• Carrie Anne Weber, LMP
• Gregory Alan Williams, D.D.S.
• Tamera Kaye Ybarra, MA, CCC-SLP
• Amy York
• Pamela L Young, BA

• Physical Therapist in Quincy, WA
• Providers in Quincy, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.