Jake Tyler Wallis, in Morrilton, AR

Jake Tyler Wallis, is a medicare enrolled "Physical Therapist" provider in Morrilton, Arkansas. His current practice location is 100 Walmart Dr Ste 5, Morrilton, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 477-2202.

Jake Tyler Wallis is licensed to practice in Arkansas (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235682238.

Contact Information

	Jake Tyler Wallis,
	100 Walmart Dr Ste 5, Morrilton, AR 72110-4525
	(501) 477-2202
	(501) 421-0543

Map and Direction

Healthcare Provider's Profile

Full Name	Jake Tyler Wallis
Gender	Male
Speciality
Experience	Years
Location	100 Walmart Dr Ste 5, Morrilton, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jake Tyler Wallis attended and graduated from in

NPI Data:

NPI Number: 1235682238
Provider Enumeration Date: 07/27/2016
Last Update Date: 07/14/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Jake Tyler Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235682238	NPI	-	NPPES
215702721	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Arkansas)	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. Jake Tyler Wallis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jake Tyler Wallis, 2100 W Main St, Russellville, AR 72801-2758 Ph: (479) 968-2525	Jake Tyler Wallis, 100 Walmart Dr Ste 5, Morrilton, AR 72110-4525 Ph: (501) 477-2202

Reviews and Comments

Physical Therapist in Morrilton, AR

Madeline Beck, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1307 E Harding St Ste B, Morrilton, AR 72110 Phone: 501-208-8063
Marie Charton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Walmart Dr, Ste 5, Morrilton, AR 72110 Phone: 501-477-2202 Fax: 501-421-0543
Djuana Beck, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1307 E Harding St Ste B, Morrilton, AR 72110 Phone: 501-208-8063 Fax: 501-354-1133
Haley Mourot, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Walmart Dr Ste 5, Morrilton, AR 72110 Phone: 501-477-2202
Mathew Tran Lim, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Walmart Dr Ste 5, Morrilton, AR 72110 Phone: 501-477-2202 Fax: 501-421-0543
Candice R Watkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 284 Spring Valley Rd, Morrilton, AR 72110 Phone: 501-652-6333

Jake Tyler Wallis, - Medicare Physical Therapist in Morrilton, AR