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

Mr. Guy Robert Wallace, PT

Individual provider Physical Therapist · NPI 1477605772

Mr. Guy Robert Wallace, PT is a Physical Therapist in Private Practice in Elizabethtown, Kentucky. Graduated from University of Louisville School of Medicine in 1995, 31 years ago. Practices with Physical Therapy Associates, Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
31
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2007
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

1222 Woodland Dr
Elizabethtown, KY 42701-2710
Phone: (270) 234-1569
Fax: (270) 234-0680
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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 002884 (KY)

Record details

NPI number1477605772
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 17, 2007
Last updated in NPPESJune 2, 2008
Mailing address403 N Miles St, Elizabethtown, KY 42701-1834

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Physical Therapy Associates, Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Elizabethtown