JENNIFER WALLINE (DPT) – Physical Therapist, NPI 1104225515
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX
Provider Addresses for JENNIFER WALLINE (DPT)
4040 BRYCE LN
FLOWER MOUND, TX 750777038
Phone: (940) 241-1215
Fax: (940) 455-2041
Type: Location
608 NORRIS AVE
NASHVILLE, TN 372043708
Phone: (615) 695-1432
Fax: (615) 695-1483
Type: Mailing
8 CITY BOULEVARD
SUITE 200
NASHVILLE, TN 37209
Phone: (615) 329-6600
Fax: (615) 695-1483
Type: Location
PO BOX 2650
COPPELL, TX 750198607
Phone: (972) 724-2400
Fax: (972) 724-2495
Type: Mailing
731 E SOUTHLAKE BLVD STE 150
SOUTHLAKE, TX 760926380
Phone: (817) 442-8600
Fax: (817) 442-8603
Type: Location
731 E Southlake Blvd Ste 150
Southlake, TX 760926380
Phone: (817) 442-8600
Fax: (817) 442-8603
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150127000710 | I | Physical Therapist In Private Practice | TN | TBD |
| I20240422000317 | I | Physical Therapist In Private Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75077)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | TN | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 713 | 48 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX |
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