BRIDGETT D'ANN WALLACE (PT) – Neurology Physical Therapist, NPI 1063451375

BRIDGETT D'ANN WALLACE (PT) is a healthcare provider. based in Austin, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1104610 (TX). The NPI Number for BRIDGETT D'ANN WALLACE (PT) is 1063451375

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
BRIDGETT D'ANN WALLACE (PT)
NPI
1063451375
Phone
(512) 345-4664
Address
5608 PARKCREST DR
Enumeration Date
5 June 2006
Last Update Date
31 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5123454664
Graduation Year
1995 (31 years ago)
PAC ID
1658385729
Group Practice PAC ID
0840204913
Professional Enrollment ID
I20140522000118
Address ID
TX787598598AU4601XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for BRIDGETT D'ANN WALLACE (PT)

  • 5608, Parkcrest Drive, Austin, Travis County, Texas, 78731, United States

    STE 100

    AUSTIN, TX 787314972

    Phone: (512) 345-4664

    Fax: (512) 345-6150

    Type: Mailing

  • Bank of America, 7900, Shoal Creek Boulevard, Austin, Travis County, Texas, 78757, United States

    SUITE 200

    AUSTIN, TX 787578037

    Phone: (512) 345-4664

    Fax: (512) 345-6150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140522000118IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,482323$0
97530Therapy procedure using functional activities518188$0
97162Evaluation for physical therapy, typically 30 minutes284273$0
97116Therapy procedure for walking training, each 15 minutes24172$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes23272$0
View full utilization report →

Insurance plans in this area (ZIP 78731)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840204913View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Qualified AudiologistMA
-TX
-NH
-TX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

How is BRIDGETT D'ANN WALLACE (PT) identified in CMS data?
CMS-hosted NPPES data lists BRIDGETT D'ANN WALLACE (PT) with NPI 1063451375.
Does CMS list BRIDGETT D'ANN WALLACE (PT) as active?
Yes — BRIDGETT D'ANN WALLACE (PT) is active in the NPI listing used on this page.
What healthcare role does BRIDGETT D'ANN WALLACE (PT) hold?
Scheduling teams often label BRIDGETT D'ANN WALLACE (PT) under Neurology Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is BRIDGETT D'ANN WALLACE (PT) based?
BRIDGETT D'ANN WALLACE (PT) is tied to Austin, Texas in the data we show; additional addresses may exist on the full record.
Is the information about BRIDGETT D'ANN WALLACE (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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