MR. JASON SCOTT WALLACE (PTA) – Physical Therapy Assistant, NPI 1891786646

MR. JASON SCOTT WALLACE (PTA) is a healthcare provider. based in Oxnard, California. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. They hold a License No. AT5146 (CA). The NPI Number for MR. JASON SCOTT WALLACE (PTA) is 1891786646

Main info

Male
Name
MR. JASON SCOTT WALLACE (PTA)
NPI
1891786646
Phone
(805) 671-5625
Address
4979 BURSON WAY
Enumeration Date
1 November 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JASON SCOTT WALLACE (PTA)

  • 4979 BURSON WAY

    OXNARD, CA 930361017

    Phone: (805) 671-5625

    Type: Mailing

  • 2486, North Ponderosa Drive, Camarillo, Ventura County, California, 93010, United States

    STE D-106

    CAMARILLO, CA 930102376

    Phone: (805) 484-5447

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 93036)

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Reviews

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Frequently asked questions

Can I cross-check MR. JASON SCOTT WALLACE (PTA) using NPI 1891786646?
NPI 1891786646 belongs to MR. JASON SCOTT WALLACE (PTA); compare other details if you need extra assurance.
Is there an active status for MR. JASON SCOTT WALLACE (PTA)?
For scheduling context, MR. JASON SCOTT WALLACE (PTA) is shown as active in the registry.
What area of care is associated with MR. JASON SCOTT WALLACE (PTA)?
MR. JASON SCOTT WALLACE (PTA)'s record emphasizes Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. JASON SCOTT WALLACE (PTA)?
Travel planning: use Oxnard, California as the reference point for MR. JASON SCOTT WALLACE (PTA), then confirm.
Does MR. JASON SCOTT WALLACE (PTA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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