DAVID WALLACE – Geriatric Physical Therapist, NPI 1326934811

DAVID WALLACE is a healthcare provider. based in Hamden, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 005919 (CT). The NPI Number for DAVID WALLACE is 1326934811

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DAVID WALLACE
NPI
1326934811
Phone
(203) 582-8234
Address
275 MOUNT CARMEL AVE
Enumeration Date
13 June 2025
Last Update Date
13 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034385555
Graduation Year
1995 (31 years ago)
PAC ID
4688182652
Group Practice PAC ID
7416990569
Professional Enrollment ID
I20250801000206
Address ID
CT068774657RI27XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for DAVID WALLACE

  • 275 MOUNT CARMEL AVE

    HAMDEN, CT 065181908

    Phone: (203) 582-8234

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250801000206IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06518)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416990569View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Qualified Speech Language PathologistCT
Nurse PractitionerCT
Occupational Therapist In Private PracticeMA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

Does DAVID WALLACE have a public NPI I can cite?
Public records show DAVID WALLACE under NPI 1326934811.
Should I treat DAVID WALLACE as an active provider?
Patients and plans typically see DAVID WALLACE as active in the national extract.
How should patients interpret DAVID WALLACE's specialty?
The extract shows Geriatric Physical Therapist for DAVID WALLACE. Clinical services aligned with this taxonomy classification.
Is DAVID WALLACE tied to Hamden, Connecticut?
If you are local to Hamden, Connecticut, DAVID WALLACE may be relevant to your search.
Why is information missing for DAVID WALLACE?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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