Jessica Wallace, PHD, AT, ATC
NPI 1235658626 · Athletic Trainer · Youngstown, OH
Jessica Wallace, PHD, AT, ATC is a Athletic Trainer provider in Youngstown, OH (NPI 1235658626).
Provider details
- NPI number
- 1235658626
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PHD, AT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT004914 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-09-17
- Last updated
- 2022-07-21
Frequently asked questions
- What is Jessica Wallace's NPI number?
- Jessica Wallace's National Provider Identifier (NPI) is 1235658626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Wallace's specialty?
- Jessica Wallace is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jessica Wallace located?
- Jessica Wallace's practice location on file with NPPES is 1 University Plz, Youngstown, OH 44555-0001.
- What is Jessica Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jessica Wallace is (330) 941-2577.
- Is Jessica Wallace's NPI active?
- Yes — Jessica Wallace's NPI (1235658626) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.