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

Trevor A Wallace, PT

Individual provider Physical Therapist · NPI 1760058242

Trevor A Wallace, PT is a Physical Therapist in Private Practice in Knoxville, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2021, 5 years ago. Practices with Tennessee Orthopaedic Alliance PA, a 358-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2021
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

1819 Clinch Ave Ste 106
Knoxville, TN 37916-2435
Phone: (865) 633-0259
Fax: (865) 524-5047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9430 Park West Blvd Ste 230, Knoxville, TN 37923-4204 — (865) 560-8550

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13354 (TN)

Record details

NPI number1760058242
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Tennessee Orthopaedic Alliance Pa — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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