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

David Wallace

Individual provider Physical Therapist · NPI 1154798486

David Wallace is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2015, 11 years ago. Practices with Jag-One Physical Therapy LLC, a 328-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

552 6th Ave
New York, NY 10011-2010 Not confirmed with CMS for 11 years — call before visiting
Phone: (212) 741-9288
Fax: (212) 741-6826
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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 039257 (NY)

Record details

NPI number1154798486
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2015
Last updated in NPPESAugust 21, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Jag-One Physical Therapy Llc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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 patients138
Services billed 4,351 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

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.

Colleagues at Jag-One Physical Therapy LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 328 clinicians in the practice; 12 are shown here.

Other providers in New York