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

Dr. Shawn G Wallace, PT, DPT

Individual provider Physical Therapist · NPI 1457323396

Dr. Shawn G Wallace, PT, DPT is a Physical Therapist in Private Practice in Yukon, Oklahoma. Qualified in 1991, 35 years ago. Practices with Synergy Manual Therapy Solutions LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
35
Licensed in
OK
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1805 Commons Cir Ste 100B
Yukon, OK 73099-9519
Phone: (405) 467-4086
Fax: (405) 467-4387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13390 Ne 23rd St, Choctaw, OK 73020-8622 — (405) 769-5555

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1769 (OK)

Record details

NPI number1457323396
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 5, 2006
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Synergy Manual Therapy Solutions Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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