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

Casey Stephen Wallace, DPT

Individual provider Physical Therapist · NPI 1326550518

Casey Stephen Wallace, DPT is a Physical Therapist in Private Practice in Newport Beach, California. Qualified in 2017, 9 years ago. Practices with California Sports Physical Therapy Centers Inc, a 38-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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

200 Newport Center Dr Ste 213
Newport Beach, CA 92660-7503
Phone: (949) 644-1322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1326550518
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 29, 2017
Last updated in NPPESOctober 29, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice California Sports Physical Therapy Centers Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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