CALEB WALLACE DPT
NPI 1801752340
Physical Therapist in Charlotte, NC

Active since December 29, 2025Accepts Medicare Assignment
3030 RANDOLPH RD STE 105A, CHARLOTTE, NC 28211(704) 512-4420 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caleb Wallace Dpt NPPES

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

CALEB WALLACE DPT (NPI 1801752340) is an individual physical therapist in Charlotte, North Carolina, licensed in North Carolina (P24590) and active in the NPI registry since December 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1801752340
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCALEB WALLACECredential: DPT
Location Address3030 RANDOLPH RD STE 105ACharlotte, NC 28211-1365
Mailing Address12313 E Palermo CtFort Mill, SC 29707-6483
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
NPI 1801752340 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 NC · P24590
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.
3030 RANDOLPH RD STE 105A, Charlotte, NC 28211

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

Caleb Wallace Dpt 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 ID2365912193
PECOS Enrollment IDI20260521003532

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

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

Physical Therapist
3030 RANDOLPH RD STE 105A
CHARLOTTE, NC 28211

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 Caleb Wallace's NPI number?

The NPI number for Caleb Wallace is 1801752340. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Caleb Wallace located?

Caleb Wallace practices at 3030 Randolph Rd Ste 105A, Charlotte, NC 28211. The listed phone number is (704) 512-4420.

What is Caleb Wallace's specialty?

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

Is Caleb Wallace enrolled in Medicare?

Yes. Caleb 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 Caleb Wallace was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.