MR. MARIO JAMES WALLACE PT, DPT
NPI 1043064009
Physical Therapist - Orthopedic in New York, NY

Q: What is Mario Wallace's NPI number?

The NPI number for Mario Wallace is 1043064009. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Q: What is Mario Wallace's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Mario Wallace was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 16, 2024Accepts Medicare Assignment

235 W 75TH ST, NEW YORK, NY 10023(646) 518-5559 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Mario James Wallace Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARIO JAMES WALLACE PT, DPT (NPI 1043064009) is an individual orthopedic provider in New York, New York, licensed in New York (052204) and active in the NPI registry since April 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1043064009

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameMR. MARIO JAMES WALLACECredential: PT, DPT

Location Address235 W 75TH STNew York, NY 10023-0328

Mailing Address16 Dogwood DrMiddletown, NY 10940-1802 · (845) 956-3453

Phone(646) 518-5559

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateApril 16, 2024

NPPES CertifiedApril 16, 2024

✔ NPI 1043064009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in NY · 052204

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

235 W 75TH ST, New York, NY 10023

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mario James Wallace Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092156570

PECOS Enrollment IDI20240515001445

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

1,037 services105 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

715 services100 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

710 services105 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

205 services47 patients

Training for self-care or home management, each 15 minutes 97535

This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.

70 services51 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

52 services51 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA CINCLAIR MAY PT, DPT

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