NICOLE WALLACE


Address: 3350 La Jolla Village Drive, San Diego, CA 92161
Phone: 8585528585

NICOLE WALLACE (NPI# 1588964787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588964787
Entity Type Individual
Full Name NICOLE WALLACE
Credential DPT
Practice Address 3350 La Jolla Village Drive
San Diego
CA 92161
Mailing Address 5225 Fiore Terrace
Apt D317
San Diego
CA 92122
Practice Telephone 8585528585
Enumeration Date 2010-10-22
Last Update Date 2010-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist 37203 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers NICOLE WALLACE

NPI Name Taxonomy Address Enumeration
1275821993 Nicole M. Wallace Social Worker 177 Main St Ste 206, Huntington, NY 11743-6917 2011-07-15
1366735839 Nicole Mani Wallace Chiropractor 219 Main St Ste A, Pineville, NC 28134-7528 2011-05-17
1821311606 Nicole Broadway Wallace Counselor 207 Belo Dr, Killeen, TX 76542-5598 2010-03-08
1154820868 Nicole Janeen Wallace Counselor 174 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 2018-02-08
1609089028 Nicole Marie Wallace Specialist 913 First Colonial Rd Ste 204, Virginia Beach, VA 23454-3198 2007-05-08
1508889254 Nicole Wallace Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2006-07-25

Office Location

Street Address 3350 LA JOLLA VILLAGE DRIVE
City SAN DIEGO
State CA
Zip Code 92161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740223619 Kyoko Sakamoto Urology 3350 La Jolla Village Drive, Mail Code 9112f, San Diego, CA 92161-0002 2006-06-14
1902327463 Nina Zara Saldua-santiago Physical Therapy Assistant 3350 La Jolla Village Drive, San Diego, CA 92161 2017-07-05
1144685215 Henry John Orff Psychologist 3350 La Jolla Village Drive, Va San Diego Healthcare System, San Diego, CA 92161 2015-12-16
1801220843 Vivian Kim Tran Pharmacist 3350 La Jolla Village Drive, San Diego, CA 92161-0002 2013-08-27
1134478910 Jessica Lynn Thackaberry Psychiatry & Neurology 3350 La Jolla Village Drive, San Diego, CA 92037 2012-09-07
1104127679 Aaron Michael Miller Student in an Organized Health Care Education/Training Program 3350 La Jolla Village Drive, San Diego, CA 92161 2010-11-15
1407096480 Cynthia Woodhouse Physical Therapist 3350 La Jolla Village Drive, 117a, San Diego, CA 92161-0002 2009-03-03
1518116730 Henriquez Delacruz Orthotic Fitter 3350 La Jolla Village Drive, Prosthetic & Sensory Aids Svc 664/121, San Diego, CA 92161 2008-09-11
1104073097 Jeanne Ventura Pharmacist 3350 La Jolla Village Drive, Va San Diego Healthcare System (119), San Diego, CA 92122-5447 2008-08-21
1457512071 Robert Y Lee Family Medicine 3350 La Jolla Village Drive, San Diego, CA 92161 2008-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902315807 Laura Crocker Psychologist 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 2017-09-22
1568849545 Deborah Falch Internal Medicine Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 2015-04-29
1649566001 Alyan Ali Student in an Organized Health Care Education/Training Program 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 2011-06-23
1992840144 I-wei Shu Psychiatry & Neurology 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 2007-02-21
1639252216 R Shabetai General Acute Care Hospital Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 2006-10-24
1437233624 Lee Michael Williams Marriage & Family Therapist Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 2006-10-24
1295824340 Pamela Anne Broder Pharmacist San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 2006-10-12
1750484259 Michael Neil Oxman Internal Medicine Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 2006-09-07
1295847358 Patricia Ellen Fornes Physical Therapist Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 2006-08-31
1477667087 Kathryn Victoria Frederick Louv Nurse Practitioner 3350 La Jolla Village Dr., La Jolla, CA 92161 2006-08-19
Find all providers in zip 92161

Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225644917 Anna Hand Physical Therapist 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 2020-09-18
1760097836 Eileen Salonga Physical Therapist 3840 Pendiente Ct Apt U103, San Diego, CA 92124-3726 2020-09-15
1356953608 Holly Alves Physical Therapist 3850 Xenophon St, San Diego, CA 92107-1615 2020-08-18
1982216461 Mallari Snyder Physical Therapy P.C. Physical Therapist 3636 4th Ave Ste 200, San Diego, CA 92103-4237 2020-08-17
1639780851 Jaime Zinn Physical Therapist 7760 Pipit Pl, San Diego, CA 92129-4528 2020-08-11
1134737570 Louis Noel Quintana Physical Therapist 1615 32nd St, San Diego, CA 92102-1607 2020-07-22
1467070821 Dionisio Wilkins Physical Therapist 3455 Kearny Villa Rd Apt 158, San Diego, CA 92123-1975 2020-07-10
1730706862 Function In Movement Physical Therapy Physical Therapist 1351 Reed Ave Apt 1, San Diego, CA 92109-5133 2020-07-06
1255956876 Melanie Elizabeth Hoad Physical Therapist 7858 Cowles Mountain Ct Unit D11, San Diego, CA 92119-2549 2020-06-09
1265056006 Michael Andrew Williams Physical Therapist 11165 Caminito Vista Serena, San Diego, CA 92131-3304 2020-06-07
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Competitor

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City SAN DIEGO
Zip Code 92161

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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