Individual provider · Type 1 NPI

Marisa Wallace, DPT

Physical Therapist · Hampstead, NC

NPI number 1861115362 Active

Practice location

14057 US Highway 17 Ste 230
Hampstead, NC 28443-3999

Call (910) 821-3377 Map

Fax (910) 821-3380

Mailing address

5710 Oleander Drive Ste 211
Wilmington, NC 28403-5390

Specialties and licenses

Taxonomy	Code	License
Physical Therapist Primary	225100000X	P21665 (NC)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

2 other providers at this address

Other physical therapist providers in Hampstead

See all in Hampstead →

About NPI 1861115362

Marisa Wallace, DPT's National Provider Identifier is 1861115362, issued on Sep 21, 2022. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Hampstead, NC. The record was last updated on Nov 21, 2025.