KATHRYN WALLACE DPT
NPI 1447107214
Physical Therapist in Beverly, MA
About Kathryn Wallace Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN WALLACE DPT (NPI 1447107214) is an individual physical therapist in Beverly, Massachusetts, licensed in Massachusetts (PTL89046) and active in the NPI registry since March 2026. She maintains a secondary practice location in Danvers and is a graduate of Other (2025).
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.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathryn Wallace Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEVERLY, MA 01915
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 Kathryn Wallace's NPI number?
The NPI number for Kathryn Wallace is 1447107214. It was assigned to this individual provider in the NPPES registry on March 11, 2026.
Where is Kathryn Wallace located?
Kathryn Wallace practices at 7 Reservoir Rd, Beverly, MA 01915. The listed phone number is (978) 524-0333.
What is Kathryn Wallace's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kathryn Wallace enrolled in Medicare?
Yes. Kathryn Wallace is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kathryn Wallace was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.