KAELEE WALLACE PT, DPT
NPI 1386569820
Physical Therapist - Orthopedic in Maumelle, AR
About Kaelee Wallace Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAELEE WALLACE PT, DPT (NPI 1386569820) is an individual orthopedic provider in Maumelle, Arkansas and active in the NPI registry since August 2026. She is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaelee Wallace Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kaelee Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Little Rock, AR 72212
- Reassigned Medicare billing, Arkansas enrollment
- 35 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.
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.
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 Kaelee Wallace's NPI number?
The NPI number for Kaelee Wallace is 1386569820. It was assigned to this individual provider in the NPPES registry on August 12, 2026.
Where is Kaelee Wallace located?
Kaelee Wallace practices at 223 Country Club Pkwy, Maumelle, AR 72113. The listed phone number is (501) 301-4530.
What is Kaelee Wallace's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Kaelee Wallace enrolled in Medicare?
Yes. Kaelee Wallace is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kaelee Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaelee Wallace reassigns Medicare benefits to Physical Therapy Institute (Little Rock, AR). The 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 Kaelee Wallace'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 Kaelee Wallace was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Kaelee Wallace, PT, DPT · NPI 1386569820
Orthopedic provider in Maumelle, Arkansas. Individual provider, active in the CMS NPPES registry since August 12, 2026.
## Identity
- **NPI:** 1386569820 (Entity type: Individual)
- **Enumerated:** August 12, 2026
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 223 COUNTRY CLUB PKWY, Maumelle, AR 72113-6731
- **Phone:** (501) 301-4530
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Physical Therapy Institute (NPI 1497077648, Little Rock, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** August 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386569820) · Data from the CMS NPPES public registry.