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

Stephen Paden Wallace, PT, DPT

Individual provider Physical Therapist · NPI 1053849802

Stephen Paden Wallace, PT, DPT is a Physical Therapist in Private Practice in Atlanta, Georgia. Qualified in 2017, 9 years ago. Practices with Results-Ast Jv LLC, a 390-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

925 Garrett St SE Ste J
Atlanta, GA 30316-6833
Phone: (404) 624-5407
Fax: (404) 624-5409
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 5500 Chamblee Dunwoody Rd Ste 5b, Dunwoody, GA 30338-4162 — (770) 396-3003

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT012936 (GA)

Record details

NPI number1053849802
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 24, 2017
Last updated in NPPESSeptember 25, 2019
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Results-Ast Jv Llc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Atlanta