Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caleb Wallace, DPT

Individual provider Physical Therapist · NPI 1801752340

Caleb Wallace, DPT is a Physical Therapist in Private Practice in Charlotte, North Carolina. Qualified in 2025, 1 year ago. Practices with Atrium Health Specialty Network Inc, a 246-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3030 Randolph Rd Ste 105A
Charlotte, NC 28211-1365
Phone: (704) 512-4420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P24590 (NC)

Record details

NPI number1801752340
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 29, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Atrium Health Specialty Network Inc — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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