Todd J. Wallace, PT

Physical Therapist · Cary, IL

Individual Active NPI

NPI number 1346424660

Practice location

2615 Three Oaks Rd
Suite 1a
Cary, IL 60013-6123
Phone
(847) 516-8095
Fax
(847) 516-8098

Open in Google Maps

NPI record

NPI
1346424660
Entity type
Individual (Type 1)
Enumeration date
December 21, 2007
Last updated
November 4, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 070016043 IL

Mailing address

2615 Three Oaks Rd
Suite 1a
Cary, IL 60013-6127
Phone
(847) 516-8095
Fax
(847) 516-8098

About Todd Wallace

Todd J. Wallace, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 2615 Three Oaks Rd, Suite 1a, Cary, IL 60013-6123. The NPI number 1346424660 was assigned on December 21, 2007 and the record was last updated on November 4, 2011.

Todd Wallace lists a license in the registry: #070016043 (IL) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Todd J. Wallace, PT?

The NPI number is 1346424660.

What is the phone number of Todd Wallace?

The phone number listed for the practice location is (847) 516-8095.

Where is Todd Wallace located?

2615 Three Oaks Rd, Suite 1a, Cary, IL 60013-6123.

What is the taxonomy code for Todd Wallace?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapist providers in Cary

All Physical Therapist providers in Cary, IL →