Laurie Wallace, MPT, ATC
NPI 1770704306 · Physical Therapist · Burlingame, CA
Laurie Wallace, MPT, ATC is a Physical Therapist provider in Burlingame, CA (NPI 1770704306).
Provider details
- NPI number
- 1770704306
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT18527 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service 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 tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 438 Wisnom AveSan Mateo, CA 94401-2422Phone: (772) 321-4992
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2019-02-27
Frequently asked questions
- What is Laurie Wallace's NPI number?
- Laurie Wallace's National Provider Identifier (NPI) is 1770704306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Laurie Wallace's specialty?
- Laurie Wallace is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Laurie Wallace located?
- Laurie Wallace's practice location on file with NPPES is 130 Loma Vista Dr, Burlingame, CA 94010.
- What is Laurie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Laurie Wallace is (772) 321-4992.
- Is Laurie Wallace's NPI active?
- Yes — Laurie Wallace's NPI (1770704306) is active in the NPPES registry as of the last update on 2019-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.