MR. RANDALL ALLEN WALLACE P.T. NPI 1497820252

NPI Information

  • NPI: 1497820252
  • Provider Name: MR. RANDALL ALLEN WALLACE, P.T.
  • Classification: Physical Therapist - 2251E1200X
  • Specialization: Ergonomics
  • Entity Type: Individual
  • Address: 409 E. CALIFORNIA AVE.
    OAKLAHOMA CITY, OK
    ZIP 73104
  • Phone: (405) 879-6766

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NPI Details

MR. Randall Allen Wallace, P.T. is an ergonomics physical therapist in Oaklahoma City, OK. The provider is a licensed physical therapist who has demonstrated specialized knowledge and skills pertaining to the workplace, occupational demands, prevention of work-related injury, management of the worker with job-related symptoms or participation restrictions, and provides individual, group or population level evaluation, intervention and consulting to enhance worker performance. MR. Randall Allen Wallace, P.T. NPI is 1497820252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

409 E. CALIFORNIA AVE.
OAKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 879-6766
Fax: (405) 879-3493

The enumeration date for this NPI number is 11/21/2006 and was last updated on 9/11/2025.

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
1225100000XPhysical TherapistPT2855OKLAHOMANo
22251E1200XPhysical TherapistErgonomicsPT2855OKLAHOMAYes

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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