NPI age
18 years
Enumerated 2008-02-06
● Active
Type 1 · Individual
Linda W Wallace, PT
Wallace is 1 of 3 physical therapist providers in Blakely and 1 of 7225 in Georgia.
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-06-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7225 active physical therapist providers in Georgia.
NPI age
18 years
↑ 8 yr above median (10 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-02Enumerated in NPPES
2008
2026
Where they practice
Practice location
11740 Columbia St
Blakely, GA 398232574
Mailing address
11740 Columbia St
Blakely, GA 398232574
Specialties
-
Physical Therapist PrimaryPhysical 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 688951544A |
Practice context
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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- 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.