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

Christina Wallace

Individual provider Physical Therapist · NPI 1861811671

Christina Wallace is a Physical Therapist in Private Practice in San Marcos, California. Qualified in 2013, 13 years ago. Practices with Coastal Mobile Therapy a Professional Physical Therapy Corp, a 9-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

579 Via Del Caballo
San Marcos, CA 92078-8911
Phone: (503) 883-1686
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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 41160 (CA)

Record details

NPI number1861811671
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 9, 2014
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022
Mailing address579 Via Del Caballo, San Marcos, CA 92078-8911

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Coastal Mobile Therapy A Professional Physical Therapy Corp — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Marcos