RYAN JAMES WALLACE (PT, DPT, OCS, MTC) – Physical Therapist, NPI 1568420354

RYAN JAMES WALLACE (PT, DPT, OCS, MTC) is a healthcare provider. based in Bonita springs, Florida. specializing in Physical Therapist. They hold the professional credentials PT, DPT, OCS, MTC. They hold a License No. PT 18604 (FL). The NPI Number for RYAN JAMES WALLACE (PT, DPT, OCS, MTC) is 1568420354

Main info

Male
Name
RYAN JAMES WALLACE (PT, DPT, OCS, MTC)
NPI
1568420354
Phone
(239) 947-4184
Address
25241 ELEMENTARY WAY
Enumeration Date
2 May 2006
Last Update Date
12 May 2015
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

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Provider Addresses for RYAN JAMES WALLACE (PT, DPT, OCS, MTC)

  • 25241, Elementary Way, Cedar Creek, Bonita Springs, Lee County, Florida, 34135, United States

    STE 200

    BONITA SPRINGS, FL 341357883

    Phone: (239) 947-4184

    Fax: (239) 947-4171

    Type: Location

  • 8079 BRETON CIR

    FORT MYERS, FL 339124651

    Phone: (239) 947-4184

    Fax: (239) 947-4181

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34135)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for RYAN JAMES WALLACE (PT, DPT, OCS, MTC)?
RYAN JAMES WALLACE (PT, DPT, OCS, MTC) — NPI 1568420354 — is the standard way to identify this listing.
Does the file indicate RYAN JAMES WALLACE (PT, DPT, OCS, MTC) is practicing under active NPI?
Directory data currently reports RYAN JAMES WALLACE (PT, DPT, OCS, MTC) as active.
What is RYAN JAMES WALLACE (PT, DPT, OCS, MTC) best known for clinically?
Directory data describes RYAN JAMES WALLACE (PT, DPT, OCS, MTC) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does RYAN JAMES WALLACE (PT, DPT, OCS, MTC) list a practice location?
Patients near Bonita Springs, Florida may find RYAN JAMES WALLACE (PT, DPT, OCS, MTC) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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