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

Mr. Randall Allen Wallace, PT

Individual provider Physical Therapist · NPI 1497820252

Mr. Randall Allen Wallace, PT is a Physical Therapist in Oaklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
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.

See every abbreviation used in this directory →

Practice location Address checks out

409 E California Ave
Oaklahoma City, OK 73104
Phone: (405) 879-6766
Fax: (405) 879-3493
Show map & directions

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

Specialties & licences

Ergonomics Physical Therapist (primary) Taxonomy 2251E1200X · Licence PT2855 (OK)
Physical Therapist Taxonomy 225100000X · Licence PT2855 (OK)

Record details

NPI number1497820252
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESSeptember 11, 2025