DAVID WALLACE – Physical Therapist, NPI 1154798486

DAVID WALLACE is a healthcare provider. based in Whitestone, New York. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 039257 (NY). The NPI Number for DAVID WALLACE is 1154798486

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DAVID WALLACE
NPI
1154798486
Phone
(718) 819-6800
Address
2142 UTOPIA PKWY
Enumeration Date
21 August 2015
Last Update Date
21 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9733203170
Graduation Year
2015 (11 years ago)
PAC ID
8325356181
Group Practice PAC ID
2769584325
Professional Enrollment ID
I20230417001541
Address ID
NJ070702524RU1XXXXWAYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,787 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NY

Provider Addresses for DAVID WALLACE

  • 2142 UTOPIA PKWY

    WHITESTONE, NY 113574142

    Phone: (718) 819-6800

    Fax: (347) 841-9109

    Type: Mailing

  • 552 6TH AVE

    NEW YORK, NY 100112010

    Phone: (212) 741-9288

    Fax: (212) 741-6826

    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: 2023-04-17

PECOS data refreshed: 2026-06-15

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
I20230417001541IPhysical Therapist In Private PracticeNJTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,11097$0
97140Therapy procedure using manual technique, each 15 minutes73580$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes63278$0
97116Therapy procedure for walking training, each 15 minutes28324$0
97530Therapy procedure using functional activities12833$0
View full utilization report →

Insurance plans in this area (ZIP 11357)

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Provider's Procedures

DAVID WALLACE performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYNY97001Physical therapy evaluation5650
PHYSICAL THERAPYNY97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes52289

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: 2769584325View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-PA
-NJ
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

Can I cross-check DAVID WALLACE using NPI 1154798486?
NPI 1154798486 belongs to DAVID WALLACE; compare other details if you need extra assurance.
Is DAVID WALLACE still an active registrant?
DAVID WALLACE carries an active NPI according to the public dataset.
What clinical focus is listed for DAVID WALLACE?
At a glance, DAVID WALLACE is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DAVID WALLACE?
Travel planning: use Whitestone, New York as the reference point for DAVID WALLACE, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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