Bridgett D'Ann Wallace, PT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

1104610 Issued in TX

Practice address

7900 Shoal Creek Blvd
Suite 200
Austin, TX 78757-8037

Phone

(512) 345-4664

Fax

(512) 345-6150

NPI assigned

Jun 5, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balance Therapy of TexasGroup PAC ID 0840204913, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balance Therapy of Texas

  dba 360 Balance

  • Neurology Physical Therapist
  • Austin, TX
  • NPI 1134174808
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063451375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 PARKCREST DR",
            "address_2": "STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314972",
            "telephone_number": "512-345-4664",
            "fax_number": "512-345-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SHOAL CREEK BLVD",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578037",
            "telephone_number": "512-345-4664",
            "fax_number": "512-345-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "BRIDGETT",
        "middle_name": "D'ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1104610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0050HV",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS TRUE CHOICE",
            "identifier": "030384821",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "030384821",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "86683T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PROVIDER #",
            "identifier": "030384821",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer N Wall, MSN, FNP-C
• Shelby Taylor Wall, PA-C
• William Austin Wall, LPC-A
• Kennethra Wallace Bennett
• Angella Meshelle Wallace, MS, CCC/SLP
• Chelsea Renee Henderson Wallace, RN
• Elizabeth Wallace
• Elizabeth A Wallace, CRNA
• Jaclyn Wallace
• Jason R. Wallace, M.D.

• Neurology Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Neurology Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.