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

Mr. Joseph Michael Wallace

Individual provider Physical Therapy Assistant · NPI 1124771555

Mr. Joseph Michael Wallace is a Physical Therapy Assistant in Medley, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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Practice location Address checks out

8181 NW S River Dr Lot B227
Medley, FL 33166-7470
Phone: (786) 779-1617
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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 PTA31677 (FL)

Record details

NPI number1124771555
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 26, 2022
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022
Mailing address8181 Nw S River Dr Lot B227, Medley, FL 33166-7470

Other providers in Medley