Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013410778 Individual Practitioner Male Practitioner

Glenn Wallace

Rehabilitation Practitioner • Boulder City, NV

Professional Overview & Biography Verified Profile Summary

Glenn Wallace is a registered healthcare professional specializing in Rehabilitation Practitioner in Boulder City, NV. Practice services are available at 200 WILSON CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Wilson Cir

Boulder City, NV 890054401

Telephone 7022947100
Associated Practice Facility / Clinic
🏢 St. Jude's Ranch For Children Facility NPI 1215528260

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Boulder City, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
78 Specialists

Practicing in Boulder City, NV (5588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Fatima Parker

Behavior Analyst

NPI 1013296235
Maeleshya Tyler

Rehabilitation Practitioner

NPI 1023596889
Genesis Benites

Behavior Technician

NPI 1023947330
Nicola Adams

Rehabilitation Practitioner

NPI 1043899115
Chelbi Vernon

Rehabilitation Practitioner

NPI 1073033742
Terrance Cockrell

Behavior Analyst

NPI 1073892360

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2018

Registered at 200 WILSON CIR, BOULDER CITY, NV 890054401 (Tel: 7022947100)

📍
Updated Business Mailing Address March 08, 2018

Registered at 200 WILSON CIR, BOULDER CITY, NV 890054401

👤
Provider Name / Credentials Updated March 08, 2018

Recorded as GLENN WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2018

Rehabilitation Practitioner

🟢
Initial NPI Registration & Enumeration March 08, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Glenn Wallace. Be the first to share your experience!

Sign in to leave a review for Glenn Wallace

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013410778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2018
Last Update: March 08, 2018
Sole Proprietor: Yes

Mailing Address

200 Wilson Cir

Boulder City, NV 890054401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.