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DR. JESSICA WALLACE PHD, AT, ATC
NPI 1235658626
Specialist/Technologist - Athletic Trainer in Youngstown, OH

Active since September 17, 2017
1 UNIVERSITY PLZ, YOUNGSTOWN, OH 44555(330) 941-2577 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 17, 2017 (2 updates tracked since 2017).

About Dr. Jessica Wallace Phd, At, Atc NPPES

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

DR. JESSICA WALLACE PHD, AT, ATC (NPI 1235658626) is an individual athletic trainer provider in Youngstown, Ohio, licensed in Ohio (AT004914) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1235658626
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameDR. JESSICA WALLACECredential: PHD, AT, ATC
Location Address1 UNIVERSITY PLZYoungstown, OH 44555-0001
Mailing Address1 University PlzYoungstown, OH 44555-0001 · (330) 941-2577
Phone(330) 941-2577
Sole ProprietorYes
Enumeration DateSeptember 17, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1235658626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in OH · AT004914
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1 UNIVERSITY PLZ, Youngstown, OH 44555
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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.

EMILY TOCCO
Speech-Language Pathologist
1 UNIVERSITY PLZ
YOUNGSTOWN, OH 44555
Mahoning County (330) 394-1192
DR. NATHANIEL ROBERT HINDERER PT, DPT, ATC, LAT
Physical Therapist
1 UNIVERSITY PLZ
YOUNGSTOWN, OH 44555
Mahoning County (330) 941-3190
AUSTIN J BAKER
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY PLZ
YOUNGSTOWN, OH 44555
Mahoning County (330) 941-3000
JALAE TIANE PARKER
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY PLZ
YOUNGSTOWN, OH 44555
Mahoning County (330) 941-4444
MARTINA ANNALEIGH SMEARMAN APRN
Family Medicine
1 UNIVERSITY PLZ
YOUNGSTOWN, OH 44555
Mahoning County (877) 468-6978
TODD EDWARD BURKEY
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY PLZ
YOUNGSTOWN, OH 44555
Mahoning County (330) 941-3190
STEPHANIE MARIE DEMAIN
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY PLZ
YOUNGSTOWN, OH 44555
Mahoning County (330) 941-3190
KYLE ROBERT HEGEDUS
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY PLZ
YOUNGSTOWN, OH 44555
Mahoning County (330) 941-3000

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 Jessica Wallace's NPI number?

The NPI number for Jessica Wallace is 1235658626. It was assigned to this individual provider in the NPPES registry on September 17, 2017.

Where is Jessica Wallace located?

Jessica Wallace practices at 1 University Plz, Youngstown, OH 44555. The listed phone number is (330) 941-2577.

What is Jessica Wallace's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jessica Wallace was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.