Douglas Wallace
Physical Therapist in Weehawken, New Jersey
1356921118- Practice location
- 36 Hudson Pl, Weehawken, NJ 07086-7013
- Phone
- 201-522-6474
- Fax
- —
- Last updated
- April 14, 2021
Douglas Wallace is a Physical Therapist based in Weehawken, NJ. Douglas Wallace practices in Weehawken, NJ. The NPI Number for Douglas Wallace is 1356921118 and holds a License No. 40QA00655300 (NJ). The current practice location address for Douglas Wallace is 36 Hudson Pl, Weehawken, NJ 07086-7013 and can be reached out via phone at 201-522-6474.
Provider Profile Details
- NPI Number
- 1356921118
- Provider Name
- Douglas Wallace
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 36 Hudson Pl, Weehawken, NJ 07086-7013
- Phone Number
- 201-522-6474
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 14, 2021
- Last Update Date
- April 14, 2021
- Certification Date
- April 14, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 36 Hudson Pl
Weehawken, NJ 07086-7013 - City
- Weehawken
- State
- New Jersey
- Zip
- 07086-7013
- Phone Number
- 201-522-6474
Provider Business Mailing Address Details
- Address
- 36 Hudson Pl
Weehawken, NJ 07086-7013 - City
- Weehawken
- State
- NJ
- Zip
- 07086-7013
- Phone Number
- 201-522-6474
License Information
- License Number
- 40QA00655300
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Douglas Wallace?
The NPI number of Douglas Wallace is 1356921118. It was assigned on April 14, 2021 and is currently active in the NPPES registry.
What is the specialty of Douglas Wallace?
Douglas Wallace is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00655300.
Where does Douglas Wallace practice?
The practice location is 36 Hudson Pl, Weehawken, NJ 07086-7013. The office can be reached at 201-522-6474 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356921118 directly on the NPPES registry website.