Bethann Wallace
Bethann Wallace is a healthcare organization registered as Physical Therapist in Staunton, VA, holding Type 2 (organization) NPI 1396809125 since 2006. The authorized official on file is Bethann Wallace, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396809125 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bethann Wallace |
| Other name | <Unavail> |
| Practice address | 1416 CHURCHVILLE AVE, SUITE A, Staunton, VA, 24401 |
| Phone | 5402130345 |
| Fax | 5408862609 |
| Enumeration date | 2006-12-19 |
| Last updated in NPPES | 2008-07-14 |
Authorized official
| Name | Bethann Wallace |
|---|---|
| Title | Owner |
| Phone | 5402130345 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Secondary | 235005465 | VA |
| 225100000X | Physical Therapist | Primary | 2305005759 | VA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194028 | Other | VA | ANTHEM |
Copy-ready billing details
Provider: Bethann Wallace NPI: 1396809125 Taxonomy: 225100000X (Physical Therapist) Address: 1416 CHURCHVILLE AVE, SUITE A, Staunton, VA, 24401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942464219 | Bethann Wallace | Individual | Physical Therapist | Staunton, VA |
Verify this record
Cross-check NPI 1396809125 against the authoritative CMS record: view Bethann Wallace on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Bethann Wallace located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-14.