Nicole Wallace, DPT
NPI 1588964787 · Physical Therapist · San Diego, CA
Nicole Wallace, DPT is a Physical Therapist provider in San Diego, CA (NPI 1588964787).
Provider details
- NPI number
- 1588964787
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 37203 (CA)
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
15 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
- 2010-10-22
- Last updated
- 2010-10-22
Frequently asked questions
- What is Nicole Wallace's NPI number?
- Nicole Wallace's National Provider Identifier (NPI) is 1588964787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Wallace's specialty?
- Nicole Wallace is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicole Wallace located?
- Nicole Wallace's practice location on file with NPPES is 3350 La Jolla Village Drive, San Diego, CA 92161.
- What is Nicole Wallace's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wallace is (858) 552-8585.
- Is Nicole Wallace's NPI active?
- Yes — Nicole Wallace's NPI (1588964787) is active in the NPPES registry as of the last update on 2010-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.