Maci Wallace, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4630 Woodmere Blvd
Montgomery, AL 36106-2906

Phone

(334) 387-0575

NPI assigned

Apr 30, 2025

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 AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maci.wallace.1@321.direct.athenahealth.com

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.

• Hughston Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1164461190

  AL

  Medicare reassignment Care Compare group NPD
• Hughston Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Newnan, GA
  • NPI 1902682347
  Care Compare group NPD
• Hughston Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Dothan, AL
  • NPI 1588806707
  Care Compare group
• Hughston Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Montgomery, AL
  • NPI 1992440457
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Montgomery, AL
  • NPI 1154953123
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Auburn, AL
  • NPI 1720260052
  Care Compare group
• Hughston Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Montgomery, AL
  • NPI 1538886056
  Care Compare group
• Hughston Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Wetumpka, AL
  • NPI 1730806894
  Care Compare group
• Hughston Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Dublin, GA
  • NPI 1104316652
  Care Compare group
• Hughston Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Leesburg, GA
  • NPI 1699951897
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Valdosta, GA
  • NPI 1003098336
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Columbus, GA
  • NPI 1346423241
  Care Compare group

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1295523090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "334-387-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 WOODMERE BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062906",
            "telephone_number": "334-387-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "MACI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla McCollum Walker, CRNA
• Keeley Walker
• Keisa T Walker
• Roszell Nicole Walker
• Leigh A Wallace, SP
• Marilynn R. Wallace, PHARM.D.
• Mathew Cary Wallace, M.D.
• Takova Wallace, PHARMD
• Gregory Allen Waller, M.D.
• Jacqueline Rae Waller, PHARMD

• All providers in Montgomery, AL
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.