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

Kathryn Wallace, DPT

Individual provider Physical Therapist · NPI 1447107214

Kathryn Wallace, DPT is a Physical Therapist in Private Practice in Beverly, Massachusetts. Qualified in 2025, 1 year ago. Practices with Soul Physical Therapy LLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2026
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

7 Reservoir Rd
Beverly, MA 01915-5501
Phone: (978) 524-0333
Fax: (978) 524-0334
Show map & directions

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

Additional practice locations (1)

  • 10 Elm St, Danvers, MA 01923-2824 — (978) 304-0536

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL89046 (MA)

Record details

NPI number1447107214
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 11, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address7 Reservoir Rd, Beverly, MA 01915-5501

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Soul Physical Therapy Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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