Lataunya B. Wallace, P.T.
NPI 1891010435ActiveIndividual· Physical Therapist· Clinton, MS
Physical Therapist (P.T.) in Clinton, Mississippi, licensed in MS, with an NPI issued in April 2010.
Overview
| NPI | 1891010435 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | Yes |
| NPI issued | Apr 6, 2010 |
| Last updated in NPPES | Apr 6, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT1460 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other physical therapists in Clinton
- 1225236920
- 1316606510
- 1396459418
- 1407603053
- 1427361013
- 1437454055
- 1447534375
- 1710069828
- 1720832546
- 1770609638
- 1821478785
- 1992174452
All 33 physical therapists in Clinton · All physical therapists in Mississippi