MR. MICHAEL WALLACE DPT
NPI 1881368561
Physical Therapist in Loganville, GA

Active since August 05, 2021
3440 HIGHWAY 81, LOGANVILLE, GA 30052(770) 554-5009(706) 546-8792 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2022, Aug 5, 2021 (2 updates tracked since 2021).

About Mr. Michael Wallace Dpt NPPES

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

MR. MICHAEL WALLACE DPT (NPI 1881368561) is an individual physical therapist in Loganville, Georgia, licensed in Georgia (PT015458) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1881368561
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. MICHAEL WALLACECredential: DPT
Location Address3440 HIGHWAY 81Loganville, GA 30052-9112
Mailing Address1017 Crystal Brook WayMonroe, GA 30655-7313
Fax(706) 546-8792
Sole ProprietorNo
Enumeration DateAugust 5, 2021
Last NPPES UpdateMarch 11, 20242 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
NPI 1881368561 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 GA · PT015458
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

3440 HIGHWAY 81, Loganville, GA 30052

Other Identifiers 1

Other15426562Caqh Number

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.

Specialist/Technologist, Other (Surgical Assistant)
3440 HIGHWAY 81
LOGANVILLE, GA 30052
Physician Assistant
3440 HIGHWAY 81
LOGANVILLE, GA 30052
Physician Assistant
3440 HIGHWAY 81
LOGANVILLE, GA 30052
Physical Therapy Assistant
3440 HIGHWAY 81
LOGANVILLE, GA 30052
Physical Therapist
3440 HIGHWAY 81
LOGANVILLE, GA 30052
Physical Therapy Assistant
3440 HIGHWAY 81
LOGANVILLE, GA 30052
Clinic/Center (Ambulatory Surgical)
3440 HIGHWAY 81, STE 100
LOGANVILLE, GA 30052
Occupational Therapist
3440 HIGHWAY 81
LOGANVILLE, GA 30052

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 Michael Wallace's NPI number?

The NPI number for Michael Wallace is 1881368561. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Michael Wallace located?

Michael Wallace practices at 3440 Highway 81, Loganville, GA 30052. The listed phone number is (770) 554-5009.

What is Michael Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Wallace was last updated on March 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.