Mr. Edwin R Wallace III, MPT
Physical Therapist in Plainsboro, New Jersey
1790968154- Practice location
- 100 Plainsboro RD, Plainsboro, NJ 08536-1914
- Phone
- 571-370-3686
- Fax
- 571-370-3687
- Last updated
- October 31, 2024
Edwin Rush Wallace is a Physical Therapist based in Plainsboro, NJ. Edwin Rush Wallace practices in Plainsboro, NJ and has the professional credentials of MPT. The NPI Number for Edwin Rush Wallace is 1790968154 and holds a License No. CP031482T (NJ). The current practice location address for Edwin Rush Wallace is 100 Plainsboro RD, Plainsboro, NJ 08536-1914 and can be reached out via phone at 571-370-3686 and via fax at 571-370-3687.
Provider Profile Details
- NPI Number
- 1790968154
- Provider Name
- Edwin Rush Wallace
- Credential
- MPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Plainsboro RD, Plainsboro, NJ 08536-1914
- Phone Number
- 571-370-3686
- Fax Number
- 571-370-3687
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 7, 2007
- Last Update Date
- October 31, 2024
- Certification Date
- October 31, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Plainsboro RD
Plainsboro, NJ 08536-1914 - City
- Plainsboro
- State
- New Jersey
- Zip
- 08536-1914
- Phone Number
- 571-370-3686
- Fax Number
- 571-370-3687
Provider Business Mailing Address Details
- Address
- 100 Plainsboro RD
Plainsboro, NJ 08536-1914 - City
- Plainsboro
- State
- NJ
- Zip
- 08536-1914
- Phone Number
- 609-945-5724
License Information
- License Number (1)
- CP031482T
- License State (1)
- NJ
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- 2305005465
- License State (2)
- VA
- Taxonomy (2)
- Physical Therapist · 225100000X
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 Mr. Edwin R Wallace III, MPT?
The NPI number of Mr. Edwin R Wallace III, MPT is 1790968154. It was assigned on December 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Edwin R Wallace III, MPT?
Mr. Edwin R Wallace III, MPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number CP031482T.
Where does Mr. Edwin R Wallace III, MPT practice?
The practice location is 100 Plainsboro RD, Plainsboro, NJ 08536-1914. The office can be reached at 571-370-3686 (phone) or 571-370-3687 (fax).
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 1790968154 directly on the NPPES registry website.