David Harisson Wallum, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4911 Issued in NV

Practice address

850 Mill St Ste 300
Reno, NV 89502-1484

Phone

(775) 337-8776

NPI assigned

Jul 12, 2022

Last updated

Jul 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ross E. Waltz PT

  dba A.T.S. Physical Therapy

  • Physical Therapist
  • Reno, NV
  • NPI 1972604122

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1982338398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MILL ST STE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021484",
            "telephone_number": "775-337-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MILL ST STE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021484",
            "telephone_number": "775-337-8776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10555 Stead Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895061871",
            "country_code": "US",
            "telephone_number": "775-677-8776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLUM",
        "first_name": "DAVID",
        "middle_name": "HARISSON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4911",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NV",
            "license": "4911",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NV",
            "license": "4911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wallumdavid@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "850 Mill St Ste 300",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895021484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trudy Wallace, RD
• Carly Waller
• Kailee Waller, RN
• Kelly Waller
• Victoria Wallington, CPHT
• Walmart Inc. (Walmart Pharmacy 10-2189)
• Walmart Inc. (Walmart Pharmacy 10-3254)
• Walmart Inc. (WalMart Pharmacy 10-4239)
• Walmart Inc. (Walmart Pharmacy 10-3277)
• Walmart Inc. (Walmart Pharmacy 10-2106)

• Physical Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.