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

Kaitlyn D Wallace, PT

Individual provider Physical Therapist · NPI 1124429048

Kaitlyn D Wallace, PT is a Physical Therapist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

3803B Computer Dr Ste 200
Raleigh, NC 27609-6503
Phone: (919) 791-3582
Fax: (919) 791-3583
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P15088 (NC)

Record details

NPI number1124429048
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 10, 2014
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024

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