Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eliza G Waller

Individual provider Physical Therapist · NPI 1588303044

Eliza G Waller is a Physical Therapist in Private Practice in Lexington, Kentucky. Qualified in 2019, 7 years ago. Practices with Commonwealth Hand Therapy, a 36-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2022
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Practice location Address checks out

330 Waller Ave Ste 275
Lexington, KY 40504-2930
Phone: (859) 447-8600
Fax: (859) 447-8599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 008531 (KY)

Record details

NPI number1588303044
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2022
Last updated in NPPESApril 13, 2023
Certification dateApril 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Commonwealth Hand Therapy — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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