NPI age
9 years
Enumerated 2016-08-17
● Active
Type 1 · Individual
DR. Colby Evan Wallace, D.P.T.
Wallace is 1 of 16 physical therapist providers in Atlanta and 1 of 31 in Georgia.
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-08-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 31 active physical therapist providers in Georgia.
NPI age
9 years
≈ at median (8 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-08Enumerated in NPPES
2016
2026
Where they practice
Practice location
12 Executive Park Dr Ne
Atlanta, GA 303292206
Mailing address
7208 Northlake Heights Cir Ne
Atlanta, GA 303452262
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,...
Practice context
Part of a multi-provider practice. 101 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.