Individual provider Active NPI

Colette Mary Wall, P.T.

  • Orthopedic Physical Therapist
  • Dallas, TX
National Provider Identifier
1427109263
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1325024 Issued in TX
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

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20201103001818 TX Practitioner - Physical Therapist in Private Practice 0749233393 Reassigns benefits to 1 organization

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
3DPT, PLLCGroup PAC ID 3072673003, 18 clinicians

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

LicenseStateTypeSpecialty
29449CAMDClinical Social Worker
1325024TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
3DPT, PLLC Orthopedic CurrentSince Sep 13, 2020 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.

Verify at the official NPI Registry.