NPI age
19 years
Enumerated 2006-06-05
● Active
Type 1 · Individual
Bridgett D'Ann Wallace, PT
Wallace is 1 of 8 physical therapist providers in Austin and 1 of 105 in Texas.
Primary specialty
Physical Therapist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-01-31
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org
How this provider compares
Across 105 active physical therapist providers in Texas.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
7900 Shoal Creek Blvd, Suite 200
Austin, TX 787578037
Mailing address
5608 Parkcrest Dr, Ste 100
Austin, TX 787314972
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 86683T | BCBS INDIVIDUAL # |
| 01 (TX) | 0050HV | BCBS GROUP # |
| 01 (TX) | 030384821 | PHCS PROVIDER # |
| 01 (TX) | 030384821 | TEXAS TRUE CHOICE |
| 01 (TX) | 030384821 | HUMANA |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.