SHAWNLY ELISE WALLACE (PT) – Physical Therapist, NPI 1619187788

SHAWNLY ELISE WALLACE (PT) is a healthcare provider. based in Graham, Washington. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT00005001 (WA). The NPI Number for SHAWNLY ELISE WALLACE (PT) is 1619187788

Main info

Female
Name
SHAWNLY ELISE WALLACE (PT)
NPI
1619187788
Phone
(253) 820-8816
Address
25813 68TH AVE E
Enumeration Date
23 May 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SHAWNLY ELISE WALLACE (PT)

  • 25813 68TH AVE E

    GRAHAM, WA 983387133

    Phone: (253) 820-8816

    Type: Mailing

  • 101, South 56th Street, Tacoma, Pierce County, Washington, 98408, United States

    TACOMA, WA 984092626

    Phone: (253) 475-6862

    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.

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

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.

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

Insurance plans in this area (ZIP 98338)

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Reviews

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Frequently asked questions

How is SHAWNLY ELISE WALLACE (PT) identified in CMS data?
CMS-hosted NPPES data lists SHAWNLY ELISE WALLACE (PT) with NPI 1619187788.
Can I rely on SHAWNLY ELISE WALLACE (PT) being an active provider?
As of the registry snapshot, SHAWNLY ELISE WALLACE (PT) is marked active.
What is SHAWNLY ELISE WALLACE (PT)'s primary classification?
Physical Therapist is the headline specialty for SHAWNLY ELISE WALLACE (PT) here. Clinical services aligned with this taxonomy classification.
Does SHAWNLY ELISE WALLACE (PT) list a practice location?
Patients near Graham, Washington may find SHAWNLY ELISE WALLACE (PT) in results; validate coverage separately.
Is the information about SHAWNLY ELISE WALLACE (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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