Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TANGELA WALLACE
Active
Individual
TANGELA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA001884
GA
225200000X
Physical Therapy Assistant
Primary
PTA26730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245686013
LICENSE NUMBER
FL
Enumeration date
05/10/2016
Last updated
10/06/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up