Theresa A Wallace, PA-C, ATC
Physician Assistant · Daytona Beach, FL
At a glance
1865 Lpga Blvd, Daytona Beach, FL 32117-7108
NPPES record updated Nov 21, 2024. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
1865 Lpga BlvdDaytona Beach, FL 32117-7108
Additional reported practice locations
1890 Lpga Blvd Ste 240Daytona Beach, FL 321177131
Phone: 3862554596
Fax: 3862583561 1325 San Marco Blvd
Suite 102
Jacksonville, FL 322078568
Phone: 9048587045
Fax: 9048587047 1165 Dunlawton Ave Ste 102
Port Orange, FL 321272924
Phone: 3862554596
Fax: 3862583561 1175 Dunlawton Ave Ste 1
Port Orange, FL 321274741
Phone: 3862554596
Fax: 3862583561 17 Old Kings Rd N Ste K
Palm Coast, FL 321378283
Phone: 3862554596
Fax: 3862583561 1075 Mason Ave
Daytona Beach, FL 321174611
Phone: 3862554596
Fax: 3862583561
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2019
- CMS specialties
- Physician Assistant
Practice groups
- Ability Health Services And Rehabilitation Lp
- Ability Health Services, Inc
- Orthopaedic Clinic Of Daytona Beach Pa
Reported hospital affiliations
- Adventhealth Daytona Beach Daytona Beach, FL
- Adventhealth New Smyrna Beach New Smyrna Beach, FL
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $1,554.60 |
| Travel and lodging | $203.57 |
Reporting companies
| Company | Amount |
|---|---|
| SALUDA MEDICAL AMERICAS, INC. | $1,504.58 |
| BOSTON SCIENTIFIC CORPORATION | $199.69 |
| SPINAL SIMPLICITY, LLC | $34.58 |
| STRYKER CORPORATION | $19.32 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Physician Assistant
- Taxonomy code
- 363A00000X
- Enumeration date
- Jul 16, 2012
- Record updated
- Nov 21, 2024
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- PA-C, ATC
Reported taxonomies and licenses
2255A2300X
License reported: AL2836 FL
363A00000X · Primary
License reported: PA9113017 FL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1865 Lpga BlvdDaytona Beach, FL 32117-7108
- Phone
- (386) 255-4596
- Fax
- (386) 258-3561
Mailing address
1865 LPGA BLVDDAYTONA BEACH, FL 321177108
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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