Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Garrett Wallace

Individual provider Physical Therapist · NPI 1306339262

Garrett Wallace is registered under Physical Therapist in Private Practice in Summit, Mississippi. Qualified in 2018, 8 years ago. Practices with Professional Rehab Associates, a 7-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
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Practice location Address checks out

4109 Highway 98 W
Summit, MS 39666-9132
Phone: (601) 276-3909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1306339262
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 14, 2018
Last updated in NPPESJune 14, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Professional Rehab Associates — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients193
Services billed 4,891 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Professional Rehab Associates

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Summit