Nicole Wallace, PT
NPI 1609089028 · Specialist · Virginia Beach, VA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Wallace, PT is a Specialist provider in Virginia Beach, VA (NPI 1609089028).
Provider details
- NPI number
- 1609089028
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Hospitals
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2007-05-08
- Last updated
- 2019-03-18
Frequently asked questions
- What is Nicole Wallace's NPI number?
- Nicole Wallace's National Provider Identifier (NPI) is 1609089028, 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 Specialist (Other Service Providers).
- Where is Nicole Wallace located?
- Nicole Wallace's practice location on file with NPPES is 913 First Colonial Rd Ste 204, Virginia Beach, VA 23454-3198.
- What is Nicole Wallace's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wallace is (757) 550-0725.
- Does Nicole Wallace accept Medicare?
- Nicole Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Wallace's NPI active?
- Yes — Nicole Wallace's NPI (1609089028) is active in the NPPES registry as of the last update on 2019-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.