Rachael Wallace, M.S., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010792 Issued in OH

Practice address

729 Covered Bridge Dr
Delaware, OH 43015-3193

Phone

(260) 403-4702

NPI assigned

Sep 11, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  OH

  Medicare reassignment NPD
• Tender Touch at Home NJ LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1184265944
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1205204948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 COVERED BRIDGE DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430153193",
            "telephone_number": "260-403-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 COVERED BRIDGE DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430153193",
            "telephone_number": "260-403-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "RACHAEL",
        "credential": "M.S.,  P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "010792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Walburn, LPCC
• Walgreen Co
• Zakiya Walker, NP-C
• Cynthia Jane Wallace, CNP
• Heidi L Wallace, LSW, CDCA
• Courtney Ann Walsh, DO
• Dara Wang
• Guilan Wang
• Connie S. Ward, LPN
• Shellaina Ward

• Physical Therapist in Delaware, OH
• Providers in Delaware, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.