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

Michelle Wallace, PT

Individual provider Pediatric Rehabilitation Medicine Physician · NPI 1477808947

Michelle Wallace, PT is a Pediatric Rehabilitation Medicine Physician in Tenafly, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

75 Norman Pl
Tenafly, NJ 07670-2537
Phone: (732) 761-0088
Show map & directions

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

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence 40QA00591600 (NJ)

Record details

NPI number1477808947
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 19, 2012
Last updated in NPPESJuly 19, 2012
Mailing address75 Norman Pl, Tenafly, NJ 07670-2537