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

Mr. Jim F Wallace, PT

Individual provider Orthopedic Physical Therapist · NPI 1194928481

Mr. Jim F Wallace, PT is a Physical Therapist in Private Practice in Bend, Oregon. Qualified in 1981, 45 years ago. Practices with Therapeutic Associates Inc, a 322-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
45
Licensed in
OR
In the registry since
2007
Specialties on file
2
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

404 NE Penn Ave
Bend, OR 97701-4264
Phone: (541) 318-7041
Fax: (541) 388-3711
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 02948 (OR)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 2948 (OR)

Record details

NPI number1194928481
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 6, 2007
Last updated in NPPESDecember 29, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Therapeutic Associates Inc — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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