Kelly Wallace, PT - Physical Therapist in Southaven, MS

Kelly Wallace, PT is a Physical Therapist based in Southaven, Mississippi. Kelly Wallace is licensed to practice in Mississippi (license number 1734) and her current practice location is 7160 Tchulahoma Rd Ste 4, Southaven, Mississippi. She can be reached at her office (for appointments etc.) via phone at (662) 349-2733.

NPI number for Kelly Wallace is 1760727283 and her current mailing address is 7160 Tchulahoma Rd Ste 4, Southaven, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760727283.

Contact Information

Kelly Wallace, PT
7160 Tchulahoma Rd Ste 4,
Southaven, MS 38671-9266
(662) 349-2733
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly Wallace
GenderFemale
SpecialityPhysical Therapist
Location7160 Tchulahoma Rd Ste 4, Southaven, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760727283
  • Provider Enumeration Date: 12/10/2012
  • Last Update Date: 12/10/2012

Medical Identifiers

Medical identifiers for Kelly Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760727283NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1734 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Wallace, PT
7160 Tchulahoma Rd Ste 4,
Southaven, MS 38671-9266

Ph: () -
Kelly Wallace, PT
7160 Tchulahoma Rd Ste 4,
Southaven, MS 38671-9266

Ph: (662) 349-2733

Reviews and Comments


Physical Therapist in Southaven, MS

Parker P Haberstroh,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1100 Church Rd W Ste 112, Southaven, MS 38671
Phone: 662-548-3650    Fax: 662-654-8029
Michael Newton Phillips, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3451 Goodman Rd E Ste 108, Southaven, MS 38672
Phone: 662-890-6953    
Mrs. Deborah Jill Patton, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5271 Getwell Rd, Southaven, MS 38672
Phone: 662-510-5694    
Mrs. Tara Elaine Burt, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671
Phone: 662-536-4096    Fax: 662-536-4099
Ms. Jerrica Thomas,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7545 Airways Blvd, Southaven, MS 38671
Phone: 901-759-3208    
Lacey Moody,
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 3964 Goodman Rd E, Suite 111, Southaven, MS 38672
Phone: 662-890-6953    Fax: 662-890-6954
Mrs. Jennifer Dixon Brown, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 7545 Airways Blvd, Southaven, MS 38671
Phone: 901-759-3208    Fax: 901-759-3216

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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