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

Robert Bowman Wallace, DPT

Individual provider Physical Therapist · NPI 1255972568

Robert Bowman Wallace, DPT is a Physical Therapist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5935 Carnegie Blvd Ste 104
Charlotte, NC 28209-4672
Phone: (043) 232-5007
Fax: (704) 323-3993
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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 P19188 (NC)

Record details

NPI number1255972568
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 8, 2019
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

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