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JOHN M WALLACE LO
NPI 1487912382
Orthotist in Houston, TX

Active since April 27, 2012
11155 MAIN ST, HOUSTON, TX 77025(713) 474-4171(713) 747-4249 Get Directions Write a Review

NPPES record last updated: April 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John M Wallace Lo NPPES

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

JOHN M WALLACE LO (NPI 1487912382) is an individual orthotist provider in Houston, Texas, licensed in Texas (171) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1487912382
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameJOHN M WALLACECredential: LO
Location Address11155 MAIN STHouston, TX 77025-5600
Mailing Address11155 Main StHouston, TX 77025-5600 · (713) 474-4171 · Fax (713) 747-4249
Phone(713) 474-4171
Fax(713) 747-4249
Sole ProprietorNo
Enumeration DateApril 27, 2012
✔ NPI 1487912382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License✔ Licensed in TX · 171
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.
11155 MAIN ST, Houston, TX 77025
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Other Providers at the Same Location NPPES 19

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

REENA STHROHLINE CPED
Pedorthist
11155 MAIN ST
HOUSTON, TX 77025
Harris County (713) 474-4171
ERIN O'BRIEN
Prosthetist
11155 MAIN ST
HOUSTON, TX 77025
Harris County (713) 474-4171
JEREMY BILOW CO
Orthotist
11155 MAIN ST
HOUSTON, TX 77025
Harris County (713) 474-4171
WILLIAM E LANDEFIELD
Orthotic Fitter
11155 MAIN ST
HOUSTON, TX 77025
Harris County (713) 474-4171
TRACI PHELPS
Orthotist
11155 MAIN ST
HOUSTON, TX 77025
Harris County (281) 829-4741
VIVIAN ROSE
Orthotist
11155 MAIN ST
HOUSTON, TX 77025
Harris County (713) 747-4171
MR. JAMES W SHERRILL III CPO, LPO
Prosthetist
11155 MAIN ST
HOUSTON, TX 77025
Harris County (713) 747-4171
RICHARD NEIDER CO LO LPA
Orthotist
11155 MAIN ST
HOUSTON, TX 77025
Harris County (713) 474-4171

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 John Wallace's NPI number?

The NPI number for John Wallace is 1487912382. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is John Wallace located?

John Wallace practices at 11155 Main St, Houston, TX 77025. The listed phone number is (713) 474-4171.

What is John 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 John Wallace was last updated on April 27, 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.