NPPES file of Aug 9, 2026

Mario James Wallace, PT, DPT

Orthopedic Physical Therapist · New York, NY

Mario James Wallace, PT, DPT is an orthopedic physical therapist with a practice address in New York, New York, and NPI 1043064009, issued on Apr 16, 2024. Check the license (New York 052204, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1043064009
Name
Mario James Wallace
Credential
PT, DPT
Primary taxonomy
Orthopedic Physical Therapist 2251X0800X
License number
052204 NY
Self-reported in NPPES; status is on the state search
Practice location
235 W 75TH St, New York, NY 10023
Phone
(646) 518-5559
Enumerated
Apr 16, 2024
Record last updated
Apr 16, 2024
Medicare enrollment
Enrolled (PECOS I20240515001445); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 235 W 75TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Bianca Ambrosino, DPTOrthopedic Physical Therapist1285273417
  2. Brady Baron, PT, DPTPhysical Therapist1881293983
  3. Michele Bielski, LMTSpecialist1508912353
  4. Ashli Bottino, PT, DPTPhysical Therapist1932681822
  5. Emma Burnett, PT, DPTPhysical Therapist1134906548
  6. Saloni Chawala, PTPhysical Therapist1164132676

Verify Mario James Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 052204
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Spear Physical And Occupational Therapy, LLCNew York, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Mario James Wallace among 756 orthopedic physical therapist records in New York

Mario James Wallace, PT, DPT is one of 756 orthopedic physical therapist records with a practice address in New York. 35% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 92% of them.

  • NPI issued2024 · 92% of these records are older, 4% newer
  • In a Medicare fileYes · 35% of these records are
  • In the CMS Doctors and Clinicians fileYes · 38% of these records are
  • Graduated2024 · median 2014 among the 289 with a school on file
  • Record last updated2024 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2251X0800X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopedic Physical Therapist providers in New York

There are 756 orthopedic physical therapist records in New York.

The 8 orthopedic physical therapist records with the nearest ZIP codes

  1. Osama Almanastirly, DPTNew York, NY 100231023480290
  2. Bianca Ambrosino, DPTNew York, NY 100231285273417
  3. Rebecca Blanchard, DPTNew York, NY 100231417047713
  4. Lauren Calzolaio, DPTNew York, NY 100231285100917
  5. Jane Gaffney, PT, DPTNew York, NY 100231942830948
  6. Tom GuimondNew York, NY 100231427236728
  7. Cuyler Hudson, DPTNew York, NY 100231629564836
  8. Jasmine Kuan, PT, DPTNew York, NY 100231235658576

Common questions

What is Mario James Wallace, PT, DPT's NPI number?

Mario James Wallace, PT, DPT's National Provider Identifier (NPI) is 1043064009, issued on Apr 16, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Mario James Wallace, PT, DPT located?

The NPPES record lists a practice address at 235 W 75TH St, New York, NY, 10023. Phone: (646) 518-5559. Providers update this record themselves, so call before visiting.

How can I verify Mario James Wallace, PT, DPT's license?

NPPES lists New York license number 052204, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.