Edwin Rush Wallace III, MPT
NPI 1790968154ActiveIndividual· Physical Therapist· Plainsboro, NJ
Physical Therapist (MPT) in Plainsboro, New Jersey, licensed in NJ and VA, with an NPI issued in December 2007. Medicare paid $13,193 for services to 39 patients in 2024.
Overview
| NPI | 1790968154 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT |
| Sole proprietor | No |
| NPI issued | Dec 7, 2007 |
| Last updated in NPPES | Oct 31, 2024 |
| Certified by provider | Oct 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | CP031482T | NJ |
| Physical Therapist | 225100000X | 2305005465 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 576 across 8 procedure codes |
| Paid by Medicare | $13,193 |
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All 26 physical therapists in Plainsboro · All physical therapists in New Jersey