Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN WALLACE, DPT
Active Sole ProprietorJONATHAN WALLACE, DPT is a Physical Therapy Assistant healthcare provider located in PLANTATION, Florida. NPI 1619696648 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PLANTATION, FL
Registration Details
- NPI Number
- 1619696648
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2022 (4.0035443236475 yrs)
- Last Updated
- Aug 23, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
8040 PETERS RD STE H107PLANTATION, FL, 333244029Browse FL providers · Browse ZIP 33324
- Phone
- 9548355619
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PLANTATION, FL
| Name | Credential | NPI |
|---|---|---|
| MS. STACY BICKFORD | DPT | 1942208293 |
| MRS. NICOLE J DEVERTEUIL-WAGGONER | PT | 1992798607 |
| CHERRYANNE MARIE PHILLIPS | PT | 1306830237 |
| CAROLYN RAE SKINNER-SANDORA | PT | 1134113111 |
| DIANA DAWN YOUNG | PT | 1093709735 |
| SHARON NILES | — | 1750341665 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.