Individual provider Active NPI

Brittany Wallace, D.P.T.

  • Physical Therapist
  • Rockwall, TX
National Provider Identifier
1508212192
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1301 Summer Lee Dr
Rockwall, TX 75032-5452
Phone
(972) 771-8111
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1301 Summer Lee Dr
Rockwall, TX 75032-5452

Mailing address

1301 Summer Lee Dr
Rockwall, TX 75032-5452
Phone (972) 771-8111

Other practice location 1

115 Fm 2453 Ste D
Royse City, TX 75189-7037
Phone (972) 771-8111

Other practice location 2

731 Woodbridge Pkwy Ste 100
Wylie, TX 75098-7165
Phone (972) 771-8111

Other practice location 3

325 Fm 548 Ste 100
Forney, TX 75126-6992
Phone (972) 771-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200604000512 TX Practitioner - Physical Therapist in Private Practice 3173944816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Today of Lubbock LPGroup PAC ID 7315836053, 47 clinicians

Practice addresses (Care Compare)

3007 Ridge Rd
Rockwall, TX 75032-5806
Phone (469) 887-1021

4138 19TH St
Lubbock, TX 79407-2403
Phone (806) 780-2329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Today of Lubbock, LP Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Physical Therapy Today of Lubbock LP Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Physical Therapy Today of Lubbock LP Physical Therapist Current Accepting new patients
Physical Therapy Today of Lubbock LP Physical Therapist Past Accepting new patients

Locations

2241 Peggy Ln
Ste C
Garland, TX 75042
Phone (972) 272-9643

4138 19th St
Lubbock, TX 79407
Phone (806) 780-2329

3007 Ridge Rd
Rockwall, TX 75032
Phone (469) 887-1021

Organizations & group practices 4

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1508212192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SUMMER LEE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325452",
            "telephone_number": "972-771-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SUMMER LEE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325452",
            "telephone_number": "972-771-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Fm 2453 Ste D",
            "address_purpose": "LOCATION",
            "city": "Royse City",
            "state": "TX",
            "postal_code": "751897037",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 Woodbridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750987165",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Fm 548 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751266992",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "BRITTANY",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.