BRIDGETT D'ANN WALLACE PT NPI 1063451375

NPI Information

  • NPI: 1063451375
  • Provider Name: BRIDGETT D'ANN WALLACE, PT
  • Classification: Physical Therapist - 2251N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 7900 SHOAL CREEK BLVD
    SUITE 200
    AUSTIN, TX
    ZIP 78757
  • Phone: (512) 345-4664

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NPI Details

Bridgett D'ann Wallace, PT is a neurology physical therapist in Austin, TX with 31 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.

  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Therapy procedure using functional activities (HCPCS:97530)
  • Therapy procedure for walking training, each 15 minutes (HCPCS:97116)
  • Evaluation for physical therapy, typically 30 minutes (HCPCS:97162)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Repositioning exercises of head for treatment of dizziness, each day (HCPCS:95992)
  • Training for self-care or home management, each 15 minutes (HCPCS:97535)
  • Evaluation for physical therapy, typically 45 minutes (HCPCS:97163)
  • Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)
  • Test or measurement for functional capacity, each 15 minutes (HCPCS:97750)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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