Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Serena A Wallace, DPT

Individual provider Physical Therapist · NPI 1194407668

Serena A Wallace, DPT is a Physical Therapist in San Bernardino, California. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

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Practice location Address checks out

275 W Hospitality Ln Ste 100
San Bernardino, CA 92408-3238
Phone: (909) 567-2221
Fax: (909) 763-3216
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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 PT61456638 (WA)

Record details

NPI number1194407668
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients64
Services billed 1,274 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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