GODIZA MARIE WALLACE
NPI 1083556591
Physical Therapist in Chevy Chase, MD

Active since April 06, 2026
5425 WISCONSIN AVE STE 600, CHEVY CHASE, MD 20815(866) 525-3175 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2026, Apr 6, 2026 (2 updates tracked since 2026).

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

NPI1083556591
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameGODIZA MARIE WALLACE
Location Address5425 WISCONSIN AVE STE 600Chevy Chase, MD 20815-3588
Mailing Address5425 Wisconsin Ave Ste 600Chevy Chase, MD 20815-3588 · (866) 525-3175
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 6, 2026
Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1083556591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MD · 24366
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5425 WISCONSIN AVE STE 600, Chevy Chase, MD 20815

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).

PECOS PAC ID7517437627
PECOS Enrollment IDI20260529003137, I20260529003630

Medicare Billing Reassignments

2

Medicare 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.

Physical Therapist
2205 YORK RD
Timonium, MD 21093
  • Reassigned Medicare billing, Maryland enrollment
  • 211 clinicians in this Medicare group
Physical Therapist
111 DENNY LN
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.

Audiologist (Assistive Technology Supplier)
5425 WISCONSIN AVE STE 600
CHEVY CHASE, MD 20815
Physical Therapist
5425 WISCONSIN AVE STE 600
CHEVY CHASE, MD 20815
Physical Therapist
5425 WISCONSIN AVE STE 600
CHEVY CHASE, MD 20815
Physical Therapist
5425 WISCONSIN AVE STE 600
CHEVY CHASE, MD 20815
Physical Therapist
5425 WISCONSIN AVE STE 600
CHEVY CHASE, MD 20815
Physical Therapist
5425 WISCONSIN AVE STE 600
CHEVY CHASE, MD 20815
Physical Therapist
5425 WISCONSIN AVE STE 600
CHEVY CHASE, MD 20815
Psychologist
5425 WISCONSIN AVE STE 600
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.