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

Mr. Anthony Paul Wallace, PT

Individual provider Physical Therapist · NPI 1891793923

Mr. Anthony Paul Wallace, PT is a Physical Therapist in Private Practice in Atascadero, California. Qualified in 1980, 46 years ago. Practices with Paso Robles Physical Therapy Inc, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
46
Licensed in
CA
In the registry since
2005
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

5255 El Camino Real Ste C
Atascadero, CA 93422-3351
Phone: (805) 237-0272
Fax: (805) 237-2416
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10294 (CA)

Record details

NPI number1891793923
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Paso Robles Physical Therapy Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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