Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISA WALLACE, DPT
ActiveMARISA WALLACE, DPT is a Physical Therapy Assistant healthcare provider located in HAMPSTEAD, North Carolina. NPI 1861115362 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HAMPSTEAD, NC
Registration Details
- NPI Number
- 1861115362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2022 (3.873260750165 yrs)
- Last Updated
- Nov 21, 2025
- License
-
P21665 (NC)
Practice Information
- Address
-
14057 US HIGHWAY 17 STE 230HAMPSTEAD, NC, 284433999Browse NC providers · Browse ZIP 28443
- Phone
- 9108213377
- Fax
- 9108213380
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in HAMPSTEAD, NC
| Name | Credential | NPI |
|---|---|---|
| LAUREN LEE | PT | 1922097567 |
| MRS. CINDY W. HAWES | PT | 1669453494 |
| MR. JAMES MACDONALD | P.T. | 1235105156 |
| MRS. AMANDA PAIGE PALMER | PT | 1790754182 |
| JILLIAN MARIE MAGUIRE | PT | 1922063585 |
| PRESTON ALMAND WALKER JR. | LPT | 1588615967 |
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.