COURTNEY BROOKE WALLACE PT
NPI 1285877217
Contractor in Raleigh, NC

Active since April 06, 2009
3601 WINDEMERE PL, RALEIGH, NC 27604(919) 601-0149 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Courtney Brooke Wallace Pt NPPES

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

COURTNEY BROOKE WALLACE PT (NPI 1285877217) is an individual contractor provider in Raleigh, North Carolina, licensed in North Carolina (8974) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1285877217
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameCOURTNEY BROOKE WALLACECredential: PT
Location Address3601 WINDEMERE PLRaleigh, NC 27604-5961
Mailing Address9802 Carvel CtRaleigh, NC 27613-5754 · (984) 200-2415
Sole ProprietorNo
Enumeration DateApril 6, 2009
Last NPPES UpdateJanuary 22, 2021
NPPES CertifiedJanuary 22, 2021
NPI 1285877217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in NC · 8974
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
3601 WINDEMERE PL, Raleigh, NC 27604

Other Providers at the Same Location NPPES 2

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

Physical Therapist
3601 WINDEMERE PL
RALEIGH, NC 27604
Rehabilitation Hospital
3601 WINDEMERE PL
RALEIGH, NC 27604

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 Courtney Wallace's NPI number?

The NPI number for Courtney Wallace is 1285877217. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Courtney Wallace located?

Courtney Wallace practices at 3601 Windemere Pl, Raleigh, NC 27604. The listed phone number is (919) 601-0149.

What is Courtney Wallace's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Courtney Wallace was last updated on January 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.