Registry data as of Aug 27, 2026

Marisa Wallace, DPT

Physical Therapist · Hampstead, NC

Marisa Wallace, DPT is a physical therapist with a practice address in Hampstead, North Carolina, and NPI 1861115362, issued on Sep 21, 2022. Check the license (North Carolina P21665, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, loaded Aug 27, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordas of Aug 27, 2026
1861115362
Name
Marisa Wallace
Credential
DPT
Primary taxonomy
Physical Therapist 225100000X
License number
P21665 NC
Self-reported in NPPES; status is on the state search
Practice location
14057 US Highway 17 Ste 230, Hampstead, NC 28443
Phone
(910) 821-3377
Enumerated
Sep 21, 2022
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 14057 US Highway 17 Ste 230

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

  1. Juliette Clavier, PT, DPTPhysical Therapist1649101106
  2. James Gerosa, DPTPhysical Therapist1639984040

Verify Marisa Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
    Search for license P21665
    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 North Carolina 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.

The practice group's Medicare quality score for 2023: 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%
  3. Promoting interoperabilityout of 100 · 25%
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

2 hospital and facility affiliations

  1. Pender Pelvic Health And Therapy Services, LLCHampstead, NC
  2. Zumbro And Connell IncHampstead, NC

Source: CMS Doctors and Clinicians affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

32 physical therapist records list a Hampstead practice address

They are 32 of the 325 NPPES records with a Hampstead practice address, and 8,513 physical therapist records in North Carolina.

Other physical therapist records in North Carolina

  1. Karen Abalos, P.T.Dunn, NC1740592963
  2. Maria Zenaida Abanilla, PTCharlotte, NC1457679904
  3. Ryan Abarno, DPTCharlotte, NC1194174532
  4. Nicollette AbatoCharlotte, NC1225752249
  5. Alke Abbey, PTFayetteville, NC1992757900
  6. Madeline Abbot, DPTChapel Hill, NC1043932189
  7. Deanna Abbott, PT, DPTSanford, NC1932393998
  8. Noor Abdel-Jabbar, DPTConcord, NC1871359513
  9. Hanah AbdulhalimDurham, NC1972760981
  10. Ramil Abenales, P.T.Mount Airy, NC1972777027

Common questions

What is Marisa Wallace, DPT's NPI number?

Marisa Wallace, DPT's National Provider Identifier (NPI) is 1861115362, issued on Sep 21, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Marisa Wallace, DPT located?

The NPPES record lists a practice address at 14057 US Highway 17 Ste 230, Hampstead, NC, 28443. Phone: (910) 821-3377. Providers update this record themselves, so call before visiting.

How can I verify Marisa Wallace, DPT's license?

NPPES lists North Carolina license number P21665, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.

What is Marisa Wallace, DPT's Medicare quality score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 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.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.