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Dr. Eric T Wallace , DPT

Physical Therapist β€’ Appleton, WI

Active NPI 1417183476 Individual Practitioner Male Practitioner
Practice location in NPPES

W5361 County Road Kk Ste E
Appleton, WI 549157271

Call 9205402344 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

W5361 County Road Kk Ste E

Appleton, WI 549157271

Telephone 9205402344
Fax 9207791460
Organization at the Same NPPES Address or Phone
Motus Rx Physical Therapy, Llc Facility NPI 1326576794

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Green Bay, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Appleton and Wisconsin

202 active clinicians are listed under Physical Therapist with a practice address in Appleton, WI (6,586 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

0% of these 202 clinicians have the CMS telehealth indicator.

26.2% of these 202 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES WI 11251

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist - Orthopedic

NUCC Taxonomy Code: 2251X0800X

License # reported to NPPES WI 11251-24

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Secondary Practice Locations

2763 S Oneida St Ste 102

Green Bay, WI 543045122

Phone: 9205402344

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physical Therapist (license number reported to NPPES: WI 11251-24)

βœ…
NPI Profile Active May 31, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location May 31, 2017

Registered at W5361 COUNTY ROAD KK STE E, APPLETON, WI 549157271 (Tel: 9205402344)

πŸ“
Updated Business Mailing Address May 31, 2017

Registered at W5361 COUNTY ROAD KK STE E, APPLETON, WI 549157271 (Tel: (920) 540-2344)

πŸ‘€
Provider Name / Credentials Updated May 31, 2017

Recorded as ERIC WALLACE, DPT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2017

Physical Therapist (license number reported to NPPES: WI 11251)

βœ…
NPI Profile Active December 16, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 16, 2013

Registered at 2763 SOUTH ONEIDA STREET, SUITE 102, GREEN BAY, WI 543046311 (Tel: 9208842488)

πŸ“
Business Mailing Address (Initial Record) December 16, 2013

Registered at 2763 SOUTH ONEIDA STREET, SUITE 102, GREEN BAY, WI 543046311 (Tel: 9208842488)

πŸ‘€
Provider Name / Credentials (Initial Record) December 16, 2013

Recorded as ERIC WALLACE, DPT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2013

Physical Therapist (license number reported to NPPES: WI 11251)

🟒
Initial NPI Registration & Enumeration June 04, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417183476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2009
Last Update: July 21, 2022
Sole Proprietor: Yes

Other Physical Therapists in Appleton

All Physical Therapists in Appleton

Mailing Address

W5361 County Road Kk Ste E

Appleton, WI 549157271

Phone: 9205402344

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.