GODIZA MARIE WALLACE
NPI 1083556591
Physical Therapist in Chevy Chase, MD
About Godiza Marie Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GODIZA MARIE WALLACE (NPI 1083556591) is an individual physical therapist in Chevy Chase, Maryland, licensed in Maryland (24366) and active in the NPI registry since April 2026. She is a graduate of Other (2003).
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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Godiza Marie Wallace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Godiza Marie Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Timonium, MD 21093
- Reassigned Medicare billing, Maryland enrollment
- 211 clinicians in this Medicare group
Winchester, VA 22603
- Reassigned Medicare billing, District of Columbia enrollment
- 696 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
CHEVY CHASE, MD 20815
CHEVY CHASE, MD 20815
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 Godiza Marie Wallace's NPI number?
The NPI number for Godiza Marie Wallace is 1083556591. It was assigned to this individual provider in the NPPES registry on April 6, 2026.
Where is Godiza Marie Wallace located?
Godiza Marie Wallace practices at 5425 Wisconsin Ave Ste 600, Chevy Chase, MD 20815. The listed phone number is (866) 525-3175.
What is Godiza Marie Wallace's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Godiza Marie Wallace enrolled in Medicare?
Yes. Godiza Marie Wallace is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Godiza Marie Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Godiza Marie Wallace reassigns Medicare benefits to 2 organizations: Fox Rehab Pt MD LLC (Timonium, MD) and Fox Rehabilitation Services LLC (Winchester, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Godiza Marie Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Godiza Marie Wallace was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.