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

Dr. Colby Evan Wallace, DPT

Individual provider Neurology Physical Therapist · NPI 1457806622

Dr. Colby Evan Wallace, DPT is a Physical Therapist in Private Practice in Atlanta, Georgia. Qualified in 2016, 10 years ago. Practices with Piedmont Orthopedics, LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
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

12 Executive Park Dr NE
Atlanta, GA 30329-2206
Phone: (404) 778-3444
Show map & directions

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

Specialties & licences

Neurology Physical Therapist (primary) Taxonomy 2251N0400X · Licence PT012499 (GA)

Record details

NPI number1457806622
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 17, 2016
Last updated in NPPESAugust 17, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Piedmont Orthopedics, Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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