NICOLE LEE WALLACE PTA
NPI 1619884186
Physical Therapy Assistant in Springfield, MO
About Nicole Lee Wallace Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE LEE WALLACE PTA (NPI 1619884186) is an individual physical therapy assistant in Springfield, Missouri, licensed in Missouri (2025036692) and active in the NPI registry since August 2026.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
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 Nicole Wallace's NPI number?
The NPI number for Nicole Wallace is 1619884186. It was assigned to this individual provider in the NPPES registry on August 27, 2026. The provider is also known as Nicole Lee Woolbright.
Where is Nicole Wallace located?
Nicole Wallace practices at 1531 E Bradford Pkwy Ste 210-4, Springfield, MO 65804. The listed phone number is (417) 881-9500.
What is Nicole Wallace's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Nicole Wallace was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.