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DAVID WALLACE
NPI 1326934811
Physical Therapist - Geriatrics in Hamden, CT

Active since June 13, 2025Accepts Medicare Assignment
275 MOUNT CARMEL AVE, HAMDEN, CT 06518(203) 582-8234 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Wallace NPPES

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

DAVID WALLACE (NPI 1326934811) is an individual geriatrics provider in Hamden, Connecticut, licensed in Connecticut (005919) and active in the NPI registry since June 2025. He is a graduate of Other (1995).

NPPES Registry Identity

NPI1326934811
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameDAVID WALLACE
Location Address275 MOUNT CARMEL AVEHamden, CT 06518-1908
Mailing Address275 Mount Carmel AveHamden, CT 06518-1908 · (203) 582-8234
Phone(203) 582-8234
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJune 13, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1326934811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in CT · 005919
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
275 MOUNT CARMEL AVE, Hamden, CT 06518
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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

David Wallace 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 ID4688182652
PECOS Enrollment IDI20250801000206

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.

KAYLA CRISCENZO
Specialist/Technologist (Athletic Trainer)
275 MOUNT CARMEL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (201) 270-8323
MS. MEGAN ROSE MONTALTO LAT, ATC
Specialist/Technologist (Athletic Trainer)
275 MOUNT CARMEL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 582-8200
ALLISON MARIE WICK PA-C
Physician Assistant
275 MOUNT CARMEL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 582-8200
LUCY GAUVIN ATC
Specialist/Technologist (Athletic Trainer)
275 MOUNT CARMEL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 582-8200
RICHARD GIBBS
Student in an Organized Health Care Education/Training Program
275 MOUNT CARMEL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (800) 462-1944
SIENA VICENCIO LCSW
Social Worker (Clinical)
275 MOUNT CARMEL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 407-4020
CASEY J FUSCO
Physician Assistant (Surgical)
275 MOUNT CARMEL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (603) 520-3403
MEGAN O'NEILL
Specialist/Technologist (Athletic Trainer)
275 MOUNT CARMEL AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 582-8408

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 David Wallace's NPI number?

The NPI number for David Wallace is 1326934811. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is David Wallace located?

David Wallace practices at 275 Mount Carmel Ave, Hamden, CT 06518. The listed phone number is (203) 582-8234.

What is David Wallace's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is David Wallace enrolled in Medicare?

Yes. David Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Wallace was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.