Kassy Wallace, PT, DPT
NPI 1790456614 · Orthopedic Physical Therapist · Cadillac, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kassy Wallace, PT, DPT is a Orthopedic Physical Therapist provider in Cadillac, MI (NPI 1790456614).
Provider details
- NPI number
- 1790456614
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,450 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 591 | $21 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 348 | $27 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 209 | $19 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 123 | $8 |
| Therapy Procedure Using Functional Activities97530 | 90 | $31 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 37 |
Practice location
Mailing address
Additional practice locations (1)
- 4040 Beacon StKingsley, MI 49649-9548Phone: (231) 263-1350
Registry dates
- Enumerated
- 2021-09-21
- Last updated
- 2022-08-18
- Certified
- 2022-08-18
Frequently asked questions
- What is Kassy Wallace's NPI number?
- Kassy Wallace's National Provider Identifier (NPI) is 1790456614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kassy Wallace's specialty?
- Kassy Wallace is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kassy Wallace located?
- Kassy Wallace's practice location on file with NPPES is 8872 Professional Dr Ste C, Cadillac, MI 49601-8482.
- What is Kassy Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kassy Wallace is (231) 876-0010.
- Does Kassy Wallace accept Medicare?
- Kassy Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kassy Wallace's NPI active?
- Yes — Kassy Wallace's NPI (1790456614) is active in the NPPES registry as of the last update on 2022-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.