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

Derek Wallace

Individual provider Physical Therapy Assistant · NPI 1083925283

Derek Wallace is a Physical Therapy Assistant in Evansville, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010

Practice location Address checks out

150 N Rosenberger Ave
Evansville, IN 47712-6503
Phone: (812) 491-3856
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06001705A (IN)

Record details

NPI number1083925283
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2010
Last updated in NPPESJune 23, 2010
Mailing address150 N Rosenberger Ave, Evansville, IN 47712-6503

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