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

Katie A Wallace, PT

Individual provider Physical Therapist · NPI 1417992538

Katie A Wallace, PT is a Physical Therapist in Private Practice in Woburn, Massachusetts. Qualified in 2010, 16 years ago. Practices with Mass General Brigham Medical Group, Inc, a 140-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New Hampshire.

Years since qualifying
16
Licensed in
MA, NH
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1 Arrow Dr
Woburn, MA 01801-2039
Phone: (781) 935-2655
Fax: (781) 935-9097
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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 16906 (MA)
Physical Therapist Taxonomy 225100000X · Licence 2972 (NH)

Record details

NPI number1417992538
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mass General Brigham Medical Group, Inc. — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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