Mary Wallman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305003165 Issued in VA

Practice address

44 Clifton St
Lynchburg, VA 24501-1422

Phone

(434) 528-1848

Fax

(434) 845-6820

NPI assigned

Aug 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

91.57 of 100Reported as group

Quality

98.54

Improvement activities

40

Cost

74.59

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1790794113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20347 TIMBERLAKE RD",
            "address_2": "STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027352",
            "telephone_number": "434-845-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CLIFTON ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011422",
            "telephone_number": "434-528-1848",
            "fax_number": "434-845-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLMAN",
        "first_name": "MARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010052319",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kojo Wallace, MD
• William Miles Wallace
• Brenda Sue Waller, M.D.
• Sandra Waller, CERTIFIED HAIR LOSS
• John Wallman, PT
• Matthew Robert Wallman, PA-C
• Evan Rhys Walsh
• Hillary Walsh
• Ying Wang, M.D.,PH.D.
• Kelly McDowell Ward

• Physical Therapist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.