NPI age
18 years
Enumerated 2007-06-07
● Active
Type 1 · Individual
MRS. Lisa N. Wallace, LPTA
Wallace is 1 of 2 physical therapy assistant providers in Lagrange and 1 of 1124 in Georgia.
Primary specialty
Physical Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1124 active physical therapy assistant providers in Georgia.
NPI age
18 years
↑ 9 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Practice location
1514 Vernon Rd
Lagrange, GA 302404131
Mailing address
536 Pine Ave
Roanoke, AL 362741446
Specialties
-
Physical Therapy Assistant Primary(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
Practice context
Part of a multi-provider practice. 86 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 →
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