Pamela Wallis Ross

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20101 Issued in FL

Practice address

6418 US Highway 41 N
Apollo Beach, FL 33572-1803

Phone

(813) 649-0339

NPI assigned

Sep 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Pamela Ross Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1538392808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 JUMANA LOOP",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722914",
            "telephone_number": "813-641-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6418 US HIGHWAY 41 N",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721803",
            "telephone_number": "813-649-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "PAMELA",
        "middle_name": "WALLIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "20101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "ROSS",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kelsey Roberts
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• Sarah Jane Royal, PHARM D
• Tiffany Omobola Russell
• Diane Marla Sabel, P.A.-C
• David Anthony Sagy, R.PH
• Salty Therapy, LLC

• Physical Therapist in Apollo Beach, FL
• Providers in Apollo Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.