TREVOR A WALLACE PT
NPI 1760058242
Physical Therapist in Knoxville, TN

Active since June 03, 2021Accepts Medicare Assignment
75/100
CMS Quality Rating
1819 CLINCH AVE STE 106, KNOXVILLE, TN 37916(865) 633-0259(865) 524-5047 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2023, Oct 7, 2022, Jun 3, 2021 (3 updates tracked since 2021).

About Trevor A Wallace Pt NPPES

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

TREVOR A WALLACE PT (NPI 1760058242) is an individual physical therapist in Knoxville, Tennessee, licensed in Tennessee (13354) and active in the NPI registry since June 2021. He is a graduate of University Of Tennessee, Hsc, College Of Medicine (2021).

NPPES Registry Identity

NPI1760058242
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTREVOR A WALLACECredential: PT
Location Address1819 CLINCH AVE STE 106Knoxville, TN 37916-2435
Mailing AddressPo Box 306556Nashville, TN 37230-6556 · (865) 243-8153
Fax(865) 524-5047
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2021
Enumeration DateJune 3, 2021
Last NPPES UpdateOctober 12, 20233 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
NPI 1760058242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in TN · 13354
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.
1819 CLINCH AVE STE 106, Knoxville, TN 37916

Accepted Insurance

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

Trevor A Wallace 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 ID42610149
PECOS Enrollment IDI20210610003105

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
608 services98 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
604 services107 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
95 services31 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
81 services31 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
31 services30 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37916 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 9

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

Physical Therapist
1819 CLINCH AVE STE 106
KNOXVILLE, TN 37916
Physical Therapist
1819 CLINCH AVE STE 106
KNOXVILLE, TN 37916
Physical Therapist
1819 CLINCH AVE STE 106
KNOXVILLE, TN 37916
Physical Therapist
1819 CLINCH AVE STE 106
KNOXVILLE, TN 37916
Clinic/Center (Physical Therapy)
1819 CLINCH AVE STE 106
KNOXVILLE, TN 37916
Physical Therapist
1819 CLINCH AVE STE 106
KNOXVILLE, TN 37916
Physical Therapist
1819 CLINCH AVE STE 106
KNOXVILLE, TN 37916
Physical Therapist
1819 CLINCH AVE STE 106
KNOXVILLE, TN 37916

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 Trevor Wallace's NPI number?

The NPI number for Trevor Wallace is 1760058242. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Trevor Wallace located?

Trevor Wallace practices at 1819 Clinch Ave Ste 106, Knoxville, TN 37916. The listed phone number is (865) 633-0259.

What is Trevor Wallace's specialty?

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

Is Trevor Wallace enrolled in Medicare?

Yes. Trevor 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.

What insurance does Trevor Wallace accept?

Health plans from BlueCross BlueShield of Tennessee list Trevor Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trevor Wallace was last updated on October 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.