Nicole Marie Wallace, PT
Specialist · Virginia Beach, VA
Nicole Marie Wallace, PT is a specialist with a practice address in Virginia Beach, Virginia, and NPI 1609089028, issued on May 8, 2007. Check the license (Virginia 2305203070, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nicole Marie Wallace
- Credential
- PT
- Primary taxonomy
- Specialist 174400000X
- License number
- 2305203070 VA
Self-reported in NPPES; status is on the state search - Practice location
- 913 First Colonial RD Ste 204, Virginia Beach, VA 23454
- Phone
- (757) 550-0725
- Enumerated
- May 8, 2007
- Record last updated
- Mar 18, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20140828000778); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest specialist records → All 798 in Virginia → Look up another NPI →
Also registered at 913 First Colonial RD Ste 204
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Victoria Hulsing, PT, DPTPhysical Therapist1336806488
- Lisa TerryDevelopmental Therapist1013557958
Verify Nicole Marie Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 2305203070Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Legacy Healthcare Services IncVirginia Beach, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nicole Marie Wallace among 798 specialist records in Virginia
Nicole Marie Wallace, PT is one of 798 specialist records with a practice address in Virginia. 30% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 58% of them.
- NPI issued2007 · 58% of these records are older, 32% newer
- In a Medicare fileYes · 30% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated1998 · median 1989 among the 167 with a school on file
- Record last updated2019 · 81% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Specialist providers in Virginia
There are 798 specialist records in Virginia.
All 798 in Virginia → Every provider in Virginia Beach → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Richard Abriss, M.D.Virginia Beach, VA 234541356397566
- Jeffrey Berger, M.D.Virginia Beach, VA 234541235178955
- Beryl Brown, M.D.Virginia Beach, VA 234541245279033
- Michael Cannon, M.D.Virginia Beach, VA 234541215925599
- Arthur Dunnington, M.D.Virginia Beach, VA 234541770570533
- Samuel Garrett, MDVirginia Beach, VA 234541699745042
- Juan Gelpi, M.D.Virginia Beach, VA 234541134168370
- Thomas Hayes, MDVirginia Beach, VA 234541366402067
Common questions
What is Nicole Marie Wallace, PT's NPI number?
Nicole Marie Wallace, PT's National Provider Identifier (NPI) is 1609089028, issued on May 8, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Nicole Marie Wallace, PT located?
The NPPES record lists a practice address at 913 First Colonial RD Ste 204, Virginia Beach, VA, 23454. Phone: (757) 550-0725. Providers update this record themselves, so call before visiting.
How can I verify Nicole Marie Wallace, PT's license?
NPPES lists Virginia license number 2305203070, as entered by the provider. Search the Virginia 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.