Theresa Wallace, PA-C, ATC
NPI 1437404548 · Physician Assistant · Daytona Beach, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Wallace, PA-C, ATC is a Physician Assistant provider in Daytona Beach, FL (NPI 1437404548).
Provider details
- NPI number
- 1437404548
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- AL2836 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
7 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
449 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 247 | $105 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 92 | $74 |
| X-Ray of Lower and Sacral Spine, Minimum of 4 Views72110 | 38 | $41 |
| X-Ray of Pelvis, 1-2 Views72170 | 28 | $22 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 28 | $139 |
| Testing for Presence of Drug, Read By Direct Observation80305 | 16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 319 | 138 |
| Celecoxib | 137 | 55 |
| Meloxicam | 101 | 44 |
| Pregabalin | 99 | 45 |
| Diclofenac Sodium | 96 | 49 |
| Methocarbamol | 85 | 44 |
| Tizanidine Hcl | 74 | 33 |
| Cyclobenzaprine Hcl | 72 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$339 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (6)
- 1890 Lpga Blvd Ste 240Daytona Beach, FL 32117-7131Phone: (386) 255-4596Fax: (386) 258-3561
- 1075 Mason AveDaytona Beach, FL 32117-4611Phone: (386) 255-4596Fax: (386) 258-3561
- 1325 San Marco BlvdSuite 102Jacksonville, FL 32207-8568Phone: (904) 858-7045Fax: (904) 858-7047
- 17 Old Kings Rd N Ste KPalm Coast, FL 32137-8283Phone: (386) 255-4596Fax: (386) 258-3561
- 1165 Dunlawton Ave Ste 102Port Orange, FL 32127-2924Phone: (386) 255-4596Fax: (386) 258-3561
- 1175 Dunlawton Ave Ste 1Port Orange, FL 32127-4741Phone: (386) 255-4596Fax: (386) 258-3561
Registry dates
- Enumerated
- 2012-07-16
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Frequently asked questions
- What is Theresa Wallace's NPI number?
- Theresa Wallace's National Provider Identifier (NPI) is 1437404548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Wallace's specialty?
- Theresa Wallace is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Wallace located?
- Theresa Wallace's practice location on file with NPPES is 1865 Lpga Blvd, Daytona Beach, FL 32117-7108.
- What is Theresa Wallace's phone number?
- The practice phone number listed in the NPPES registry for Theresa Wallace is (386) 255-4596.
- Does Theresa Wallace accept Medicare?
- Theresa Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Wallace's NPI active?
- Yes — Theresa Wallace's NPI (1437404548) is active in the NPPES registry as of the last update on 2024-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.