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

Maci Wallace, PT

Individual provider Physical Therapist · NPI 1295523090

Maci Wallace, PT is a Physical Therapist in Private Practice in Montgomery, Alabama. Qualified in 2025, 1 year ago. Practices with Hughston Clinic PC, a 112-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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

4630 Woodmere Blvd
Montgomery, AL 36106-2906
Phone: (334) 387-0575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1295523090
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 30, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing addressPo Box 370, Fortson, GA 31808-0370

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 Hughston Clinic Pc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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