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

Mr. Edwin Rush Wallace III, MPT

Individual provider Physical Therapist · NPI 1790968154

Mr. Edwin Rush Wallace III, MPT is a Physical Therapist in Plainsboro, New Jersey. Licensed in New Jersey and Virginia. Registered with an NPI since 2007.

Licensed in
NJ, VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

100 Plainsboro Rd
Plainsboro, NJ 08536-1914
Phone: (571) 370-3686
Fax: (571) 370-3687
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP031482T (NJ)
Physical Therapist Taxonomy 225100000X · Licence 2305005465 (VA)

Record details

NPI number1790968154
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedDecember 7, 2007
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address100 Plainsboro Rd, Plainsboro, NJ 08536-1914

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