KIMBERLY WALLACE MPT
NPI 1033457791
Physical Therapist in Philadelphia, PA
About Kimberly Wallace Mpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY WALLACE MPT (NPI 1033457791) is an individual physical therapist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PT019083) and active in the NPI registry since January 2013. She is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Wallace Mpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimberly Wallace's NPI number?
The NPI number for Kimberly Wallace is 1033457791. It was assigned to this individual provider in the NPPES registry on January 30, 2013.
Where is Kimberly Wallace located?
Kimberly Wallace practices at 421 W School House Ln Unit 2, Philadelphia, PA 19144. The listed phone number is (973) 477-1421.
What is Kimberly Wallace's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kimberly Wallace enrolled in Medicare?
Yes. Kimberly Wallace is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kimberly Wallace was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.