Andre Wallace
NPI 1578178844 · Massage Therapist · Philadelphia, PA
Andre Wallace is a Massage Therapist provider in Philadelphia, PA (NPI 1578178844).
Provider details
- NPI number
- 1578178844
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- MSG007581 (PA)
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
5 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
- 2020-09-13
- Last updated
- 2020-09-13
- Certified
- 2020-09-04
Frequently asked questions
- What is Andre Wallace's NPI number?
- Andre Wallace's National Provider Identifier (NPI) is 1578178844, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andre Wallace's specialty?
- Andre Wallace is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Andre Wallace located?
- Andre Wallace's practice location on file with NPPES is 435 W Roosevelt Blvd Apt 2, Philadelphia, PA 19120-4148.
- What is Andre Wallace's phone number?
- The practice phone number listed in the NPPES registry for Andre Wallace is (215) 435-5560.
- Is Andre Wallace's NPI active?
- Yes — Andre Wallace's NPI (1578178844) is active in the NPPES registry as of the last update on 2020-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.