Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wallace Physical Therapy, PLLC

Organization Physical Therapist · NPI 1992721450

Wallace Physical Therapy, PLLC is a Physical Therapist in Homer, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

59A James St
Homer, NY 13077-1222
Phone: (315) 416-4327
Fax: (607) 749-5618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 017462-1 (NY)

Record details

NPI number1992721450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandi Wallace — President · (315) 416-4327
NPI enumeratedJuly 15, 2006
Last updated in NPPESSeptember 11, 2008
Mailing address59a James St, Homer, NY 13077-1222

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