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MR. JAMES LEWIS WALLACE JR. CPO
NPI 1396891933
Orthotist in Charlotte, NC

Active since January 26, 2007
1901 BRUNSWICK AVE, SUITE 200, CHARLOTTE, NC 28207(704) 348-4488(704) 348-4496 Get Directions Write a Review

NPPES record last updated: July 23, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. James Lewis Wallace Jr. Cpo NPPES

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

MR. JAMES LEWIS WALLACE JR. CPO (NPI 1396891933) is an individual orthotist provider in Charlotte, North Carolina and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1396891933
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameMR. JAMES LEWIS WALLACE JR.Credential: CPO
Location Address1901 BRUNSWICK AVE, SUITE 200Charlotte, NC 28207-2809
Mailing AddressPo Box 24905Winston Salem, NC 27114-4905 · (336) 397-2165 · Fax (336) 397-2167
Phone(704) 348-4488
Fax(704) 348-4496
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 23, 2010
✔ NPI 1396891933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedProsthetistTaxonomy 224P00000X
1901 BRUNSWICK AVE, Charlotte, NC 28207
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Other Identifiers 1

Medicaid7795261NC

Other Providers at the Same Location NPPES 8

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

DR. ALEXANDER ROSSITCH DDS
Dentist (General Practice)
1901 BRUNSWICK AVE, SUITE 250
CHARLOTTE, NC 28207
Mecklenburg County (704) 372-0290
NOVANT HEALTH MEDICAL GROUP, LLC
Plastic Surgery
1901 BRUNSWICK AVE, SUITE 200
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-5025
CHRISTINA M HINTON CP
Prosthetist
1901 BRUNSWICK AVE, SUITE 200
CHARLOTTE, NC 28207
Mecklenburg County (704) 348-4488
DONALD D. FRASER, M.D., P.A.
Clinic/Center (Medical Specialty)
1901 BRUNSWICK AVE, SUITE 240
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-3299
DR. JAMES ZIEGLER APPEL III M.D.
Plastic Surgery
1901 BRUNSWICK AVE, SUITE 200
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-5025
LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
Prosthetic/Orthotic Supplier
1901 BRUNSWICK AVE, SUITE 240
CHARLOTTE, NC 28207
Mecklenburg County (704) 348-4488
MRS. MELANIE H BROCATO CPO
Orthotist
1901 BRUNSWICK AVE, SUITE 200
CHARLOTTE, NC 28207
Mecklenburg County (704) 348-4488
JENNIFER LEIGH LITTLE
Physician Assistant
1901 BRUNSWICK AVE, SUITE 200
CHARLOTTE, NC 28207
Mecklenburg County (170) 431-6502

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 James Wallace's NPI number?

The NPI number for James Wallace is 1396891933. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is James Wallace located?

James Wallace practices at 1901 Brunswick Ave Suite 200, Charlotte, NC 28207. The listed phone number is (704) 348-4488.

What is James Wallace's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for James Wallace was last updated on July 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.