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

Shannen Margaret Wallace

Individual provider Physical Therapist · NPI 1073233250

Shannen Margaret Wallace is a Physical Therapist in Newburyport, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts and New Hampshire.

Licensed in
MA, NH
In the registry since
2022
Specialties on file
2

Practice location Address checks out

25 Storey Ave Ste 11
Newburyport, MA 01950-1869
Phone: (978) 499-2370
Show map & directions

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

Additional practice locations (1)

  • 3073 White Mountain Hwy, North Conway, NH 03860-7101 — (603) 373-6000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 25919 (MA)
Physical Therapist Taxonomy 225100000X · Licence 4900 (NH)

Record details

NPI number1073233250
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 30, 2022
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

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