Nicole Wallace, PT
Nicole Wallace, PT is a Specialist in Virginia Beach, VA, registered under NPI 1609089028. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 913 FIRST COLONIAL RD STE 204, Virginia Beach, VA 23454. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2305203070 | VA | Children's Hospital |
This provider holds licence 2305203070 issued in VA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physical Therapist In Private Practice
- PAC ID
- 7012135304
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Virginia | I20140828000778 | Practitioner - Physical Therapist In Private Practice |
| District of Columbia | I20240411003975 | Practitioner - Physical Therapist In Private Practice |
Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Therapist In Private Practice. There are 2 separate enrolment records across 2 states (VA, DC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Specialist covers
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NUCC Health Care Provider Taxonomy, code 174400000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 174400000X | Specialist | — | — | primary |
| 282NC2000X | Children's Hospital Children | 2305203070 | VA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1609089028 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 8, 2007 |
| Last updated | Mar 18, 2019 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | PT |
| Practice address |
913 FIRST COLONIAL RD STE 204 Virginia Beach, VA 23454 (757) 550-0725 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 0 | 9 | 0 | 8 | 9 | 0 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 0 | 9 | 0 | 8 | 9 | 0 | 4 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.