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

Leslie Michele Wallace, PT

Individual provider Physical Therapist · NPI 1235118050

Leslie Michele Wallace, PT is a Physical Therapist in Private Practice in Eugene, Oregon. Qualified in 1993, 33 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
33
Licensed in
OR
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1034 Lawrence St
Eugene, OR 97401-3440
Phone: (541) 284-2084
Fax: (541) 485-1087
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2726 (OR)

Record details

NPI number1235118050
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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