MR. LAWRENCE WALLACE MD, PT
NPI 1679567192
Physical Therapist in North Myrtle Beach, SC

Active since September 12, 2005Accepts Medicare Assignment
1021 2ND AVE N STE 6, NORTH MYRTLE BEACH, SC 29582(843) 286-5168(844) 318-8980 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Lawrence Wallace Md, Pt NPPES

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

MR. LAWRENCE WALLACE MD, PT (NPI 1679567192) is an individual physical therapist in North Myrtle Beach, South Carolina, licensed in South Carolina (11194) and active in the NPI registry since September 2005. He is a graduate of Other (1997).

NPPES Registry Identity

NPI1679567192
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. LAWRENCE WALLACECredential: MD, PT
Location Address1021 2ND AVE N STE 6North Myrtle Beach, SC 29582-3200
Mailing Address1021 2nd Ave N Ste 6North Myrtle Beach, SC 29582-3200 · (843) 286-5168 · Fax (844) 318-8980
Fax(844) 318-8980
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 12, 2005
Last NPPES UpdateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
NPI 1679567192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in SC · 11194 Licensed in NC · P2177
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD439714 (PA), 0101234728 (VA)
1021 2ND AVE N STE 6, North Myrtle Beach, SC 29582

Other Identifiers 1

Medicaid010114446VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Lawrence Wallace Md, Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082678669
PECOS Enrollment IDI20260123001478

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29582 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Occupational Therapist
1021 2ND AVE N STE 6
NORTH MYRTLE BEACH, SC 29582
Occupational Therapist (Hand)
1021 2ND AVE N STE 6
NORTH MYRTLE BEACH, SC 29582
Physical Therapist
1021 2ND AVE N STE 6
NORTH MYRTLE BEACH, SC 29582
Speech-Language Pathologist
1021 2ND AVE N STE 6
NORTH MYRTLE BEACH, SC 29582
Physical Therapist
1021 2ND AVE N STE 6
NORTH MYRTLE BEACH, SC 29582

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 Lawrence Wallace's NPI number?

The NPI number for Lawrence Wallace is 1679567192. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Lawrence Wallace located?

Lawrence Wallace practices at 1021 2nd Ave N Ste 6, North Myrtle Beach, SC 29582. The listed phone number is (843) 286-5168.

What is Lawrence Wallace's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Lawrence Wallace enrolled in Medicare?

Yes. Lawrence Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lawrence Wallace was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.