Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Brian Leslie Wallace, PT, DPT, OCS

Individual provider Orthopedic Physical Therapist · NPI 1790888501

Mr. Brian Leslie Wallace, PT, DPT, OCS is an Orthopedic Physical Therapist in Fort Bragg, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
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

2817 Rock Merritt Ave Womack Army Medical Ctr
Fort Bragg, NC 28310-6920
Phone: (910) 807-8922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10128 (NC)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 10128 (NC)

Record details

NPI number1790888501
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , OCS
Sole proprietorNo
NPI enumeratedSeptember 7, 2006
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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