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

Shawna T. Wallace, PT

Individual provider Physical Therapist · NPI 1417225806

Shawna T. Wallace, PT is a Physical Therapist in Irvine, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

21 Butterfly
Irvine, CA 92604-1951
Phone: (949) 653-2383
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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 PT 20540 (CA)

Record details

NPI number1417225806
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 13, 2011
Last updated in NPPESDecember 13, 2011
Mailing address21 Butterfly, Irvine, CA 92604-1951

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