Mr. John Robert Wallace, MSPT
Mr. John Robert Wallace, MSPT is a Physical Therapist in Private Practice in Nags Head, North Carolina. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 34
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
103 W Woodhill Dr Ste ANags Head, NC 27959
Phone: (252) 441-8580
Fax: (252) 441-9551
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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 5301 (NC) |
|---|
Record details
| NPI number | 1275663916 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSPT |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2007 |
| Last updated in NPPES | March 10, 2020 |
| Certification date | March 10, 2020 |
| Mailing address | Po Box 716, Kill Devil Hills, NC 27948 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1992 (34 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Nags Head
-
Elizabeth L Brennan, PT
4917 S Croatan Hwy Ste 1C, Nags Head, NC 27959-8996 · (252) 489-4682
-
Kelly Raney, PT
4917 S Croatan Hwy Ste 1C, Nags Head, NC 27959-8996 · (252) 489-4682
-
Jordan Rosenberger
430 W Health Center Dr, Nags Head, NC 27959-8943 · (440) 669-6040
-
Gillian Lennox Stewart, DPT
4800 S Croatan Hwy, Nags Head, NC 27959-9704 · (252) 449-4500