Antonio Marquez Wallace

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2179103 Issued in TX

Practice address

1860 N Cooper St
Arlington, TX 76011-3639

Phone

(817) 385-9185

NPI assigned

Sep 23, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1780597534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SARA JANE PKWY APT 10305",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524922",
            "telephone_number": "601-678-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113639",
            "telephone_number": "817-385-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ANTONIO",
        "middle_name": "MARQUEZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2179103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W. Ford Walker, DDS
• William Walker
• William David Walker, MD
• Brenda B Wall, PHD
• Misty Lynn Wall, LCSW
• Danielle Wallace, BS
• Diane E Wallace, RD, CDE, RMT
• Kenneth Lee Wallace, DDS
• Rene Wallace
• Sylvin Wallace, RBT

• Physical Therapy Assistant in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.