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

Michelle Wall, PT

Individual provider Physical Therapist · NPI 1942258330

Michelle Wall, PT is a Physical Therapist in Private Practice in Newport Beach, California. Qualified in 2000, 26 years ago. Practices with Mesisca Physical Therapy Inc, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
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

200 Newport Center Dr #213
Newport Beach, CA 92660-7501
Phone: (949) 644-1322
Fax: (949) 644-0316
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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 PT25420 (CA)

Record details

NPI number1942258330
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESOctober 22, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Mesisca Physical Therapy Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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