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

Courtney Brooke Wallace, PT

Individual provider Contractor · NPI 1285877217

Courtney Brooke Wallace, PT is a Contractor in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3601 Windemere Pl
Raleigh, NC 27604-5961
Phone: (919) 601-0149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 8974 (NC)

Record details

NPI number1285877217
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 6, 2009
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021

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