Doctor profile · Federal record

Dr. Serena Wallace, DPT

Physical Therapist · San Bernardino, CA

  • NPI 1194407668
  • 3 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
275 W Hospitality Ln Ste 100
San Bernardino, CA 924083238
(909) 567-2221
fax (909) 763-3216
Mailing address
206 W Olive Ave Apt 3
Redlands, CA 923738810

Credentials & registration

NPPES · NUCC
NPI registered
August 2023 — 3 yrs on file
Profile last updated
August 19, 2024
Specialty taxonomy
225100000X — NUCC code
State license (1)
Washington #PT61456638

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1194407668. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
250
Distinct HCPCS
2
Medicare allowed
$7,051
HCPCS Description Services Patients Avg allowed
97530 Therapy procedure using functional activities 180 25 $31
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 70 22 $22

In context: peer comparison

Among 7 peers in San Bernardino Physical Therapist, average services per provider: 233. This provider delivers 1.1× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Serena Wallace's medical specialty?
Dr. Serena Wallace practices Physical Therapist in San Bernardino, CA.
Where does Dr. Serena Wallace practice?
Dr. Serena Wallace practices at 275 W Hospitality Ln Ste 100, San Bernardino, CA 924083238. Office phone: 9095672221.
What is Dr. Serena Wallace's NPI?
Dr. Serena Wallace's National Provider Identifier (NPI) is 1194407668, issued by NPPES.
What procedures does Dr. Serena Wallace commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110). Source: CMS Medicare Physician & Other Practitioners file.