Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JASON SCOTT WALLACE PTA
NPI 1891786646
Physical Therapy Assistant in Camarillo, CA

Active since November 01, 2005
2486 N PONDEROSA DR, STE D-106, CAMARILLO, CA 93010(805) 484-5447 Get Directions Write a Review

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

About Mr. Jason Scott Wallace Pta NPPES

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

MR. JASON SCOTT WALLACE PTA (NPI 1891786646) is an individual physical therapy assistant in Camarillo, California, licensed in California (AT5146) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1891786646
Entity TypeIndividualMale
Primary Taxonomy225200000X
Provider Legal NameMR. JASON SCOTT WALLACECredential: PTA
Location Address2486 N PONDEROSA DR, STE D-106Camarillo, CA 93010-2376
Mailing Address4979 Burson WayOxnard, CA 93036-1017 · (805) 671-5625
Sole ProprietorNo
Enumeration DateNovember 1, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1891786646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in CA · AT5146
Definition
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
2486 N PONDEROSA DR, Camarillo, CA 93010

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Gastroenterology)
2486 N PONDEROSA DR, SUITE D-206
CAMARILLO, CA 93010
Physical Therapist
2486 N PONDEROSA DR, SUITE D106
CAMARILLO, CA 93010
Nurse Practitioner (Family)
2486 N PONDEROSA DR, STE D114
CAMARILLO, CA 93010
Pediatrics
2486 N PONDEROSA DR, STE D211
CAMARILLO, CA 93010
Orthopaedic Surgery
2486 N PONDEROSA DR, STE D114
CAMARILLO, CA 93010
Clinic/Center (Ambulatory Surgical)
2486 N PONDEROSA DR, SUITE D110
CAMARILLO, CA 93010
Physical Therapy Assistant
2486 N PONDEROSA DR
CAMARILLO, CA 93010
Pediatrics
2486 N PONDEROSA DR, STE D211
CAMARILLO, CA 93010

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 Jason Wallace's NPI number?

The NPI number for Jason Wallace is 1891786646. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Where is Jason Wallace located?

Jason Wallace practices at 2486 N Ponderosa Dr Ste D-106, Camarillo, CA 93010. The listed phone number is (805) 484-5447.

What is Jason 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 Jason Wallace was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.