Active NPI
Colette Mary Wall, P.T.
- Orthopedic Physical Therapist
- Dallas, TX
National Provider Identifier
1427109263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1325024
- Practice address
- 8070 Park LN Ste 130
Dallas, TX 75231-6439 - Phone
- (469) 372-0021
- Fax
- (469) 372-0021
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1325024 | TX | Primary |
Addresses
Primary practice location
8070 Park LN Ste 130
Dallas, TX 75231-6439
Mailing address
8070 Park LN Ste 130
Dallas, TX 75231-6439
Phone (469) 372-0021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Saskatchewan, College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8070 Park LN
Suite 130
Dallas, TX 75231-6439
Phone (469) 372-0021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29449 | CA | MD | Clinical Social Worker |
| 1325024 | TX | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3DPT, PLLC | Orthopedic | Current | Accepting new patients |
Locations
3500 Oak Lawn Ave
Ste 670
Dallas, TX 75219
Phone (214) 528-3378
3500 Oak Lawn Ave
Ste 240
Dallas, TX 75219
Phone (214) 528-3378
8070 Park Ln
Ste 130
Dallas, TX 75231
Phone (469) 372-0021
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1427109263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8070 PARK LN STE 130",
"city": "DALLAS",
"state": "TX",
"postal_code": "752316439",
"telephone_number": "469-372-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8070 PARK LN STE 130",
"city": "DALLAS",
"state": "TX",
"postal_code": "752316439",
"telephone_number": "469-372-0021",
"fax_number": "469-372-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "COLETTE",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1325024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.