BRIAN VENSON WALLACE DPT
NPI 1154677359
Physical Therapist in Ridgeland, MS

Active since July 25, 2012
711 AVIGNON DR, RIDGELAND, MS 39157(601) 605-6777(601) 607-1553 Get Directions Write a Review

NPPES record last updated: July 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Venson Wallace Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN VENSON WALLACE DPT (NPI 1154677359) is an individual physical therapist in Ridgeland, Mississippi, licensed in Mississippi (PT 4550) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1154677359
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBRIAN VENSON WALLACECredential: DPT
Location Address711 AVIGNON DRRidgeland, MS 39157-5120
Mailing Address711 Avignon DrRidgeland, MS 39157-5120 · (601) 605-6777 · Fax (601) 607-1553
Fax(601) 607-1553
Sole ProprietorYes
Enumeration DateJuly 25, 2012
NPI 1154677359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MS · PT 4550
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
711 AVIGNON DR, Ridgeland, MS 39157

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Speech-Language Pathologist
711 AVIGNON DR
RIDGELAND, MS 39157
Occupational Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157

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 Wallace's NPI number?

The NPI number for Brian Wallace is 1154677359. It was assigned to this individual provider in the NPPES registry on July 25, 2012.

Where is Brian Wallace located?

Brian Wallace practices at 711 Avignon Dr, Ridgeland, MS 39157. The listed phone number is (601) 605-6777.

What is Brian Wallace's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Brian Wallace was last updated on July 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.