ANDREW WALLACE – Physical Therapist, NPI 1326580697

ANDREW WALLACE is a healthcare provider. based in Spokane, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 006917 (KY). The NPI Number for ANDREW WALLACE is 1326580697

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW WALLACE
NPI
1326580697
Phone
(509) 458-7686
Address
730 N HAMILTON ST
Enumeration Date
17 November 2016
Last Update Date
21 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094587686
Graduation Year
2016 (10 years ago)
PAC ID
9032493358
Group Practice PAC ID
1153312343
Professional Enrollment ID
I20170306002527
Address ID
WA992022045SP730XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for ANDREW WALLACE

  • 730 N HAMILTON ST

    SPOKANE, WA 992022045

    Phone: (509) 458-7686

    Fax: (509) 808-2164

    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: 2017-03-06

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
I20170306002527IPhysical Therapist In Private PracticeWATBD

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 minutes29019$0
97161Evaluation for physical therapy, typically 20 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 99202)

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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: 1153312343View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

How do payers reference ANDREW WALLACE?
For ANDREW WALLACE, use NPI 1326580697 as the unique 10-digit identifier.
Active or inactive — what applies to ANDREW WALLACE?
You should see ANDREW WALLACE as active in CMS-hosted NPPES data.
How would a patient describe ANDREW WALLACE's focus?
For ANDREW WALLACE, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ANDREW WALLACE located near Spokane?
ANDREW WALLACE currently maps to Spokane, Washington in this extract.
Can I trust this NPI listing for ANDREW WALLACE?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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