KODY WALLACE – Physical Therapist, NPI 1912061607

KODY WALLACE is a healthcare provider. based in Mineral wells, Texas. specializing in Physical Therapist. They hold a License No. 1141471 (TX). The NPI Number for KODY WALLACE is 1912061607

Main info

Male
Sole Proprietor
Name
KODY WALLACE
NPI
1912061607
Phone
(940) 328-6580
Address
400 SW 25TH AVE
Enumeration Date
20 December 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for KODY WALLACE

  • Palo Pinto General Hospital, 400, Southwest 25th Avenue, Mineral Wells, Palo Pinto County, Texas, 76067, United States

    MINERAL WELLS, TX 760678246

    Phone: (940) 328-6580

    Fax: (940) 328-6550

    Type: Location

  • 705, North Murco Drive, Mineral Wells, Palo Pinto County, Texas, 76067, United States

    MINERAL WELLS, TX 760679008

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

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

Insurance plans in this area (ZIP 76067)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to KODY WALLACE?
The federal identifier for KODY WALLACE is NPI 1912061607.
Is KODY WALLACE currently active in the NPI registry?
CMS-published data lists KODY WALLACE as an active registrant.
Does KODY WALLACE list a primary specialty?
If you are matching referrals, note Physical Therapist for KODY WALLACE. Clinical services aligned with this taxonomy classification.
Where is KODY WALLACE's primary listing?
We display Mineral Wells, Texas because that is what the record indicates for KODY WALLACE.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

711, Southwest 1st Street, Mineral Wells, Palo Pinto County, Texas, 76067, United States
NPI: 1154389773
711, Southwest 1st Street, Mineral Wells, Palo Pinto County, Texas, 76067, United States
NPI: 1861450488

The Center for Cancer and Blood Disorders

Hematology & Oncology Physician
PO BOX 164009
NPI: 1629021159

BRAZOS VALLEY PHYSICAL THERAPY LTD

Physical Therapy Clinic/Center
West Sam Houston Parkway South, Houston, Harris County, Texas, 77031, United States
NPI: 1871518894

COUNTRYSIDE THERAPY GROUP, INC

Comprehensive Outpatient Rehabilitation Facility (CORF)
315 SE 6th Ave
NPI: 1710999289

BRANDON WADE HONS

Physical Therapist
320, Southwest 25th Avenue, Mineral Wells, Palo Pinto County, Texas, 76067, United States
NPI: 1730396185
100 E HUBBARD ST STE 101
NPI: 1265642649
Highway 180 East, Mineral Wells, Palo Pinto County, Texas, 76067, United States
NPI: 1821322827

AMY BRIDGES ESWEIN

Physical Therapist
711 SW 1ST ST
NPI: 1679833891