Josiah Wallace

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502008887APP25 Issued in MI

Practice address

1032 S Linden Rd
Flint, MI 48532-3458

Phone

(810) 733-3833

Fax

(810) 733-1072

NPI assigned

Jul 28, 2025

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD
• Cora Health Services Inc

  • Rehabilitation Clinic/Center
  • Flint, MI
  • NPI 1649204843
  NPD (past)

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1679456701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 LAURENE ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485052572",
            "telephone_number": "810-733-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323458",
            "telephone_number": "810-733-3833",
            "fax_number": "810-733-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "JOSIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502008887APP25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shuntai Walker, MA, LPC
• Suzanne Marie Walker
• Paula Lynn Walko, LMSW
• Felecia Wall
• Dennis Lee Wallace, P.A.
• Kendrick Wallace
• Talaka Wallace
• Ruthina Waller, REGISTERED NURSE
• Samantha Walling
• Carrie Ann Walls, M.A. CCC-SLP

• Physical Therapy Assistant in Flint, MI
• Providers in Flint, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.