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

Patrick William Wallace, PT

Individual provider Physical Therapist · NPI 1427294875

Patrick William Wallace, PT is a Physical Therapist in Private Practice in Baltimore, Maryland. Qualified in 2005, 21 years ago. Practices with Centers for Advanced Orthopaedics LLC, a 598-clinician group and accepts Medicare assignment. Licensed in Connecticut, Maryland and New York.

Years since qualifying
21
Licensed in
CT, MD, NY
In the registry since
2009
Specialties on file
3
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

2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746
Phone: (410) 377-8900
Fax: (410) 377-0576
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 24718 (MD)
Physical Therapist Taxonomy 225100000X · Licence 8524 (CT)
Physical Therapist Taxonomy 225100000X · Licence 030964-1 (NY)

Record details

NPI number1427294875
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 6, 2009
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Centers For Advanced Orthopaedics Llc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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