JILL WALLACE PT
NPI 1104883099
Physical Therapist in Waukesha, WI

Active since April 26, 2006
W239N1812 ROCKWOOD DR STE 100, PHCMA INC., WAUKESHA, WI 53188(262) 523-0310 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jill Wallace Pt NPPES

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

JILL WALLACE PT (NPI 1104883099) is an individual physical therapist in Waukesha, Wisconsin, licensed in Wisconsin (10232) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1104883099
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJILL WALLACECredential: PT
Location AddressW239N1812 ROCKWOOD DR STE 100, PHCMA INC.Waukesha, WI 53188-1113
Mailing AddressW239n1812 Rockwood Dr Ste 100, Phcma Inc.Waukesha, WI 53188-1113 · (262) 523-0310
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateJanuary 18, 2012
NPI 1104883099 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 WI · 10232
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.
W239N1812 ROCKWOOD DR STE 100, Waukesha, WI 53188

Other Identifiers 5

Medicare UPINQ13111WI
Medicaid40432300WI
Medicare ID-Type Unspecified0020WI
Medicare PIN683750020
Medicare PIN81030WI

Other Providers at the Same Location NPPES 4

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

Physical Therapist
W239N1812 ROCKWOOD DR STE 100, PROHEALTH CARE MEDICAL ASSOCIATES INC
WAUKESHA, WI 53188
Physical Therapist
W239N1812 ROCKWOOD DR STE 100
WAUKESHA, WI 53188
Audiologist
W239N1812 ROCKWOOD DR STE 100, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53188
Occupational Therapist
W239N1812 ROCKWOOD DR STE 100, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53188

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 Jill Wallace's NPI number?

The NPI number for Jill Wallace is 1104883099. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Jill Wallace located?

Jill Wallace practices at W239n1812 Rockwood Dr Ste 100 Phcma Inc., Waukesha, WI 53188. The listed phone number is (262) 523-0310.

What is Jill Wallace's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Jill Wallace was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.