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

Individual provider Physical Therapy Assistant · NPI 1952787533

Kenneth Wallace, PTA is a Physical Therapy Assistant in Brighton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2015.

Licensed in
MA
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

170 Corey Rd Brighton House Rehabilitation And Nursing Ctr
Brighton, MA 02135
Phone: (617) 731-0515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 8869 (MA)

Record details

NPI number1952787533
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 5, 2015
Last updated in NPPESAugust 5, 2015
Mailing address170 Corey Rd, Brighton House Rehabilitation And Nursing Center, Brighton, MA 02135

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