NICOLE WALLACE (NPI# 1588964787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588964787 |
| Entity Type | Individual |
| Full Name | NICOLE WALLACE |
| Credential | DPT |
| Practice Address |
3350 La Jolla Village Drive San Diego CA 92161 |
| Mailing Address |
5225 Fiore Terrace Apt D317 San Diego CA 92122 |
| Practice Telephone | 8585528585 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 37203 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275821993 | Nicole M. Wallace | Social Worker | 177 Main St Ste 206, Huntington, NY 11743-6917 | 2011-07-15 |
| 1366735839 | Nicole Mani Wallace | Chiropractor | 219 Main St Ste A, Pineville, NC 28134-7528 | 2011-05-17 |
| 1821311606 | Nicole Broadway Wallace | Counselor | 207 Belo Dr, Killeen, TX 76542-5598 | 2010-03-08 |
| 1154820868 | Nicole Janeen Wallace | Counselor | 174 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 | 2018-02-08 |
| 1609089028 | Nicole Marie Wallace | Specialist | 913 First Colonial Rd Ste 204, Virginia Beach, VA 23454-3198 | 2007-05-08 |
| 1508889254 | Nicole Wallace | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2006-07-25 |
| Street Address |
3350 LA JOLLA VILLAGE DRIVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740223619 | Kyoko Sakamoto | Urology | 3350 La Jolla Village Drive, Mail Code 9112f, San Diego, CA 92161-0002 | 2006-06-14 |
| 1902327463 | Nina Zara Saldua-santiago | Physical Therapy Assistant | 3350 La Jolla Village Drive, San Diego, CA 92161 | 2017-07-05 |
| 1144685215 | Henry John Orff | Psychologist | 3350 La Jolla Village Drive, Va San Diego Healthcare System, San Diego, CA 92161 | 2015-12-16 |
| 1801220843 | Vivian Kim Tran | Pharmacist | 3350 La Jolla Village Drive, San Diego, CA 92161-0002 | 2013-08-27 |
| 1134478910 | Jessica Lynn Thackaberry | Psychiatry & Neurology | 3350 La Jolla Village Drive, San Diego, CA 92037 | 2012-09-07 |
| 1104127679 | Aaron Michael Miller | Student in an Organized Health Care Education/Training Program | 3350 La Jolla Village Drive, San Diego, CA 92161 | 2010-11-15 |
| 1407096480 | Cynthia Woodhouse | Physical Therapist | 3350 La Jolla Village Drive, 117a, San Diego, CA 92161-0002 | 2009-03-03 |
| 1518116730 | Henriquez Delacruz | Orthotic Fitter | 3350 La Jolla Village Drive, Prosthetic & Sensory Aids Svc 664/121, San Diego, CA 92161 | 2008-09-11 |
| 1104073097 | Jeanne Ventura | Pharmacist | 3350 La Jolla Village Drive, Va San Diego Healthcare System (119), San Diego, CA 92122-5447 | 2008-08-21 |
| 1457512071 | Robert Y Lee | Family Medicine | 3350 La Jolla Village Drive, San Diego, CA 92161 | 2008-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1760097836 | Eileen Salonga | Physical Therapist | 3840 Pendiente Ct Apt U103, San Diego, CA 92124-3726 | 2020-09-15 |
| 1356953608 | Holly Alves | Physical Therapist | 3850 Xenophon St, San Diego, CA 92107-1615 | 2020-08-18 |
| 1982216461 | Mallari Snyder Physical Therapy P.C. | Physical Therapist | 3636 4th Ave Ste 200, San Diego, CA 92103-4237 | 2020-08-17 |
| 1639780851 | Jaime Zinn | Physical Therapist | 7760 Pipit Pl, San Diego, CA 92129-4528 | 2020-08-11 |
| 1134737570 | Louis Noel Quintana | Physical Therapist | 1615 32nd St, San Diego, CA 92102-1607 | 2020-07-22 |
| 1467070821 | Dionisio Wilkins | Physical Therapist | 3455 Kearny Villa Rd Apt 158, San Diego, CA 92123-1975 | 2020-07-10 |
| 1730706862 | Function In Movement Physical Therapy | Physical Therapist | 1351 Reed Ave Apt 1, San Diego, CA 92109-5133 | 2020-07-06 |
| 1255956876 | Melanie Elizabeth Hoad | Physical Therapist | 7858 Cowles Mountain Ct Unit D11, San Diego, CA 92119-2549 | 2020-06-09 |
| 1265056006 | Michael Andrew Williams | Physical Therapist | 11165 Caminito Vista Serena, San Diego, CA 92131-3304 | 2020-06-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.