IndividualActive
Vivian Wallace, PTA
NPI 1669630992 · Physical Therapy Assistant · San Francisco, CA
Provider details
- NPI number
- 1669630992
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- AT2718 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1575 7th Ave
San Francisco, CA 94122-3704
Phone: (415) 566-1200
Street-level locationGet directions
Mailing address
767 Chestnut Ave
San Bruno, CA 94066-3323
Registry dates
- Enumerated
- 2008-05-22
- Last updated
- 2008-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.