KELLY WALLACE RPT
NPI 1184696023
Physical Therapist in Choctaw, OK

Active since February 05, 2006
13390 NE 23RD ST, CHOCTAW, OK 73020(405) 769-5555(405) 769-5558 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Wallace Rpt NPPES

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

KELLY WALLACE RPT (NPI 1184696023) is an individual physical therapist in Choctaw, Oklahoma, licensed in Oklahoma (PT2460) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1184696023
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKELLY WALLACECredential: RPT
Location Address13390 NE 23RD STChoctaw, OK 73020-8622
Mailing Address13390 Ne 23rd StChoctaw, OK 73020-8622 · (405) 769-5555 · Fax (405) 769-5558
Fax(405) 769-5558
Sole ProprietorNo
Enumeration DateFebruary 5, 2006
Last NPPES UpdateApril 27, 2015
NPI 1184696023 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 OK · PT2460
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

13390 NE 23RD ST, Choctaw, OK 73020

Other Identifiers 2

Medicare OSCAR/certification277255ZJO6OK
Medicaid200552760AOK

Accepted Insurance

Areas of Expertise CMS Part B claims 10

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.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
1,214 services82 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,153 services85 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,087 services81 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
363 services49 patients
Application of mechanical traction 97012
Mechanical traction is a therapy method often used to alleviate back and neck pain. It involves a special machine that gently stretches your spine, reducing pressure on your discs and nerves. This process can help improve mobility, and relieve discomfort.
362 services33 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
334 services50 patients

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Physical Therapy)
13390 NE 23RD ST
CHOCTAW, OK 73020
Physical Therapist
13390 NE 23RD ST
CHOCTAW, OK 73020
Physical Therapy Assistant
13390 NE 23RD ST
CHOCTAW, OK 73020

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 Kelly Wallace's NPI number?

The NPI number for Kelly Wallace is 1184696023. It was assigned to this individual provider in the NPPES registry on February 5, 2006.

Where is Kelly Wallace located?

Kelly Wallace practices at 13390 NE 23rd St, Choctaw, OK 73020. The listed phone number is (405) 769-5555.

What is Kelly Wallace's specialty?

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

What insurance does Kelly Wallace accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Kelly Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Wallace was last updated on April 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.