PATRICK WILLIAM WALLACE (PT) – Physical Therapist, NPI 1427294875
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,984 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD
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Provider Addresses for PATRICK WILLIAM WALLACE (PT)
MarylandWIC, 2027, Pulaski Highway, Osborne, Havre de Grace, Harford County, Maryland, 21078, United States
HAVRE DE GRACE, MD 210782143
Phone: (410) 939-0520
Fax: (410) 939-5898
Type: Mailing
2700 QUARRY LAKE DR STE 300
BALTIMORE, MD 212093746
Phone: (410) 377-8900
Fax: (410) 377-0576
Type: Location
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: 2020-04-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170525000707 | I | Physical Therapist In Private Practice | MD | TBD |
| I20200408002077 | I | Physical Therapist In Private Practice | DC | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 747 | 118 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 709 | 105 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 589 | 96 | $0 |
| 97530 | Therapy procedure using functional activities | 557 | 89 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 75 | 18 | $0 |
Insurance plans in this area (ZIP 21078)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Orthopedic Surgery, Physical Medicine And Rehabilitation, Sports Medicine, Plastic And Reconstructive Surgery | MD | |
| - | MD | |
| Physical Therapist In Private Practice | VA | |
| Physician Assistant | VA | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | MD | |
| - | MD | |
| Physical Therapist In Private Practice | MD | |
| Physician Assistant | VA | |
| - | MD | |
| Orthopedic Surgery, Sports Medicine | MD |
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