MR. RANDALL ALLEN WALLACE P.T.
NPI 1497820252
Physical Therapist - Ergonomics in Oaklahoma City, OK

Q: What is Randall Wallace's NPI number?

The NPI number for Randall Wallace is 1497820252. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Randall Wallace's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Ergonomics, with taxonomy code 2251E1200X.

Q: When was this NPI record last updated?

The NPPES record for Randall Wallace was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 21, 2006

409 E. CALIFORNIA AVE., OAKLAHOMA CITY, OK 73104(405) 879-6766(405) 879-3493 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Randall Allen Wallace P.t. NPPES

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

MR. RANDALL ALLEN WALLACE P.T. (NPI 1497820252) is an individual ergonomics provider in Oaklahoma City, Oklahoma, licensed in Oklahoma (PT2855) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1497820252

Entity TypeIndividualMale

Primary Taxonomy2251E1200X

Provider Legal NameMR. RANDALL ALLEN WALLACECredential: P.T.

Location Address409 E. CALIFORNIA AVE.Oaklahoma City, OK 73104

Mailing Address18305 English Oak LnEdmond, OK 73003-4051 · (405) 216-8731

Phone(405) 879-6766

Fax(405) 879-3493

Sole ProprietorNo

Enumeration DateNovember 21, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1497820252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · ErgonomicsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251E1200X

License✔ Licensed in OK · PT2855

Definition

A licensed physical therapist who has demonstrated specialized knowledge and skills pertaining to the workplace, occupational demands, prevention of work-related injury, management of the worker with job-related symptoms or participation restrictions, and provides individual, group or population level evaluation, intervention and consulting to enhance worker performance.

Also ListedPhysical TherapistTaxonomy 225100000X · License PT2855 (OK)

409 E. CALIFORNIA AVE., Oaklahoma City, OK 73104

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

FUNCTIONAL ASSESTMENT CENTERS OF OKLAHOMA

Clinic/Center (Physical Therapy)

409 E. CALIFORNIA AVE.
OKLAHOMA CITY, OK 73104

Oklahoma County (405) 879-6766

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 Randall Wallace's NPI number?

The NPI number for Randall Wallace is 1497820252. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Randall Wallace located?

Randall Wallace practices at 409 E. California Ave., Oaklahoma City, OK 73104. The listed phone number is (405) 879-6766.

What is Randall Wallace's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Ergonomics, with taxonomy code 2251E1200X.

When was this NPI record last updated?

The NPPES record for Randall Wallace was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.