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

Dr. Tiffany Dawn Wallace, DPT

Individual provider Physical Therapist · NPI 1689802662

Dr. Tiffany Dawn Wallace, DPT is a Physical Therapist in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

701 Platinum Pt
Lake Mary, FL 32746-4871
Phone: (407) 206-4500
Fax: (407) 643-2802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT24764 (FL)
Physical Therapist Taxonomy 225100000X · Licence 24764 (FL)

Record details

NPI number1689802662
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 29, 2009
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022

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