Harvey W Wallmann, PT, DSC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-002045 Issued in AZ

Practice address

1941 W Guadalupe Rd Ste 108
Mesa, AZ 85202-7483

Phone

(480) 491-3563

NPI assigned

Jun 22, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Arizona Pediatric Surgery LTD

  • Specialist
  • Tucson, AZ
  • NPI 1720111396
  NPD (past)
• Strength Training Inc

  • Customized Equipment (DME)
  • Phoenix, AZ
  • NPI 1356552996
  NPD (past)
• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1376112482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17233 N HOLMES BLVD STE 1650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532030",
            "telephone_number": "602-547-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 W GUADALUPE RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027483",
            "telephone_number": "480-491-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLMANN",
        "first_name": "HARVEY",
        "middle_name": "W",
        "credential": "PT, DSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-002045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF PHYSICAL THERAPY",
            "identifier": "LPT-002045",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Wall, D.D.S.
• Wallace Chiropractic, PC
• Kristine Wallace, N.D.
• Peggy Ann Wallace, LPN
• Ryan Scott Wallin, DDS
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.