Jill Wallace, PT - Physical Therapist in Waukesha, WI

Jill Wallace, PT is a Physical Therapist based in Waukesha, Wisconsin. Jill Wallace is licensed to practice in Wisconsin (license number 10232) and her current practice location is W239n1812 Rockwood Dr Ste 100, Phcma Inc., Waukesha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 523-0310.

NPI number for Jill Wallace is 1104883099 and her current mailing address is W239n1812 Rockwood Dr Ste 100, Phcma Inc., Waukesha, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104883099.

Contact Information

Jill Wallace, PT
W239n1812 Rockwood Dr Ste 100, Phcma Inc.,
Waukesha, WI 53188-1113
(262) 523-0310
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJill Wallace
GenderFemale
SpecialityPhysical Therapist
LocationW239n1812 Rockwood Dr Ste 100, Waukesha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104883099
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 01/18/2012

Medical Identifiers

Medical identifiers for Jill Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104883099NPI-NPPES
40432300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 10232 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jill Wallace, PT
W239n1812 Rockwood Dr Ste 100, Phcma Inc.,
Waukesha, WI 53188-1113

Ph: (262) 523-0310
Jill Wallace, PT
W239n1812 Rockwood Dr Ste 100, Phcma Inc.,
Waukesha, WI 53188-1113

Ph: (262) 523-0310

Reviews and Comments


Physical Therapist in Waukesha, WI

Emily Nicole Salske, DPT
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Phone: 262-548-1457    
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Joanna Totten, PT
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Practice Location: W239n1812 Rockwood Dr Ste 100, Prohealth Care Medical Associates Inc, Waukesha, WI 53188
Phone: 262-523-0310    Fax: 262-532-9587
Ms. Erin E Doxtator, PT
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Phone: 262-521-9762    Fax: 262-521-1091
Jennifer Bultman, P.T.
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Phone: 262-798-8646    Fax: 262-798-8640
Greta Cordova, PT, DPT
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Phone: 414-672-1353    

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