BRIAN R WALLY DPT
NPI 1053760157
Physical Therapist in Glastonbury, CT
About Brian R Wally Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN R WALLY DPT (NPI 1053760157) is an individual physical therapist in Glastonbury, Connecticut, licensed in Connecticut (011339) and active in the NPI registry since June 2016. He maintains a secondary practice location in Gorham.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brian R Wally Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Brian Wally reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berlin, CT 06037
- Reassigned Medicare billing, Connecticut enrollment
- 12 clinicians in this Medicare group
Wilton, CT 06897
- Reassigned Medicare billing, Connecticut enrollment
- 124 clinicians in this Medicare group
Old Greenwich, CT 06870
- Reassigned Medicare billing, Connecticut enrollment
- 109 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brian Wally's NPI number?
The NPI number for Brian Wally is 1053760157. It was assigned to this individual provider in the NPPES registry on June 9, 2016.
Where is Brian Wally located?
Brian Wally practices at 2520 Main St Ste 2, Glastonbury, CT 06033. The listed phone number is (860) 430-8383.
What is Brian Wally's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Brian Wally enrolled in Medicare?
Yes. Brian Wally is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Brian Wally's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Wally reassigns Medicare benefits to 3 organizations: Focus Physical Therapy & Sports Medicine LLC (Berlin, CT), Fox Rehab Pt Ct, LLC (Wilton, CT) and Ivyrehab Connecticut, Inc. (Old Greenwich, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Wally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brian Wally was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.