JESSICA WALLACE
NPI 1760206460
Physical Therapist in La Plata, MD

Active since November 11, 2024Accepts Medicare Assignment
101 CENTENNIAL ST STE C, LA PLATA, MD 20646(301) 392-3700 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jessica Wallace NPPES

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

JESSICA WALLACE (NPI 1760206460) is an individual physical therapist in La Plata, Maryland and active in the NPI registry since November 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1760206460
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJESSICA WALLACE
Location Address101 CENTENNIAL ST STE CLa Plata, MD 20646-5976
Mailing Address1911 S 21st StRogers, AR 72758-6101 · (479) 270-0588
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
NPI 1760206460 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
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.
101 CENTENNIAL ST STE C, La Plata, MD 20646

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

Jessica 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 ID345764668
PECOS Enrollment IDI20250408003237

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Physical Therapist
101 CENTENNIAL ST STE C
LA PLATA, MD 20646

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 1760206460. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Where is Jessica Wallace located?

Jessica Wallace practices at 101 Centennial St Ste C, La Plata, MD 20646. The listed phone number is (301) 392-3700.

What is Jessica Wallace's specialty?

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

Is Jessica Wallace enrolled in Medicare?

Yes. Jessica 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 Jessica Wallace was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.