REBECCA HAGOOD WALLACE (PT) – Physical Therapist, NPI 1710156765

REBECCA HAGOOD WALLACE (PT) is a healthcare provider. based in Minneola, Florida. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT23837 (FL). The NPI Number for REBECCA HAGOOD WALLACE (PT) is 1710156765

Main info

Female
Name
REBECCA HAGOOD WALLACE (PT)
NPI
1710156765
Phone
(352) 394-0212
Address
405 S SEMINOLE AVE
Enumeration Date
25 February 2008
Last Update Date
25 February 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for REBECCA HAGOOD WALLACE (PT)

  • 405, Seminole Avenue, Minneola, Lake County, Florida, 34715, United States

    MINNEOLA, FL 347155520

    Phone: (352) 394-0212

    Type: Location

  • 4119 SUMMERWOOD AVE

    ORLANDO, FL 328127944

    Phone: (407) 859-6122

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

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

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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 34715)

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Frequently asked questions

Can I cross-check REBECCA HAGOOD WALLACE (PT) using NPI 1710156765?
NPI 1710156765 belongs to REBECCA HAGOOD WALLACE (PT); compare other details if you need extra assurance.
Is REBECCA HAGOOD WALLACE (PT) still an active registrant?
REBECCA HAGOOD WALLACE (PT) carries an active NPI according to the public dataset.
What clinical focus is listed for REBECCA HAGOOD WALLACE (PT)?
At a glance, REBECCA HAGOOD WALLACE (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for REBECCA HAGOOD WALLACE (PT)?
Travel planning: use Minneola, Florida as the reference point for REBECCA HAGOOD WALLACE (PT), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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