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

Colleen Wallace, DPT

Individual provider Physical Therapist · NPI 1801525316

Colleen Wallace, DPT is a Physical Therapist in Private Practice in Austintown, Ohio. Qualified in 2020, 6 years ago. Practices with Drayer Physical Therapy Northern Ohio LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2022
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

6006 Mahoning Ave Ste G
Austintown, OH 44515-2239
Phone: (330) 755-3000
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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 PT019715 (OH)

Record details

NPI number1801525316
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 9, 2022
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Drayer Physical Therapy Northern Ohio Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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