DR. TIFFANY DAWN WALLACE DPT NPI 1689802662

NPI Information

  • NPI: 1689802662
  • Provider Name: DR. TIFFANY DAWN WALLACE, DPT
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 701 PLATINUM PT
    LAKE MARY, FL
    ZIP 32746
  • Phone: (407) 206-4500

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NPI Details

DR. Tiffany Dawn Wallace, DPT is an orthopedic physical therapist in Lake Mary, FL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. DR. Tiffany Dawn Wallace, DPT NPI is 1689802662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 PLATINUM PT
LAKE MARY, FL
ZIP 32746-871
Phone: (407) 206-4500
Fax: (407) 643-2802

The enumeration date for this NPI number is 6/29/2009 and was last updated on 4/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical Therapist24764FLORIDANo
22251X0800XPhysical TherapistOrthopedicPT24764FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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