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BRIDGETT D'ANN WALLACE PT NPI 1063451375


NPI Information

NPI: 1063451375
Provider Name: BRIDGETT D'ANN WALLACE, PT
Classification: Physical Therapist - 2251N0400X
Entity Type: Individual

Specialization: Neurology

Address:
7900 SHOAL CREEK BLVD
SUITE 200
AUSTIN, TX
ZIP 78757
Phone: (512) 345-4664
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Bridgett D'ann Wallace, PT is a neurology physical therapist in Austin, TX with 29 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology. Bridgett D'ann Wallace, PT NPI is 1063451375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7900 SHOAL CREEK BLVD
SUITE 200
AUSTIN, TX
ZIP 78757-037
Phone: (512) 345-4664
Fax: (512) 345-6150

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
  • Evaluation of physical therapy, typically 30 minutes (HCPCS:97162)
  • Evaluation of physical therapy, typically 20 minutes (HCPCS:97161)

The enumeration date for this NPI number is 6/5/2006 and was last updated on 1/31/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251N0400XPhysical TherapistNeurology1104610TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
186683TOTHERTEXASBCBS INDIVIDUAL #
20050HVOTHERTEXASBCBS GROUP #
3030384821OTHERTEXASPHCS PROVIDER #
4030384821OTHERTEXASTEXAS TRUE CHOICE
5030384821OTHERTEXASHUMANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.