NPPES file of Aug 9, 2026

Collin William Wallace, DPT

Orthopedic Physical Therapist · Riverview, FL

Collin William Wallace, DPT is an orthopedic physical therapist with a practice address in Riverview, Florida, and NPI 1568830719, issued on Sep 4, 2015. Check the license (Florida PT30787, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1568830719
Name
Collin William Wallace
Credential
DPT
Primary taxonomy
Orthopedic Physical Therapist 2251X0800X
License number
PT30787 FL
Self-reported in NPPES; status is on the state search
Practice location
11375 Big Bend RD, Riverview, FL 33579
Phone
(813) 805-8167
Enumerated
Sep 4, 2015
Record last updated
Mar 2, 2026
Fax
(844) 214-1382
Medicare enrollment
Enrolled (PECOS I20170103001453); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 11375 Big Bend RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Thomas Braaten, DPTPhysical Therapist1245718717
  2. Stephanie Bridwell, MSPT, CSCSPhysical Therapist1649376690
  3. Adam CarmanPhysical Therapist1104619428
  4. Lauryn GreenfieldPhysical Therapist1750277356
  5. Mandy Huster, PT, DPTPhysical Therapist1144542341
  6. Katelin King, PT, DPT, NCS, MSCSPhysical Therapist1457601999

Verify Collin William Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license PT30787
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through 2 group practices

  1. Ohi West Medical Group LLCRiverview, FL
  2. Optimal Performance And Physical Therapies-Riverview, LLC.Riverview, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Collin William Wallace among 704 orthopedic physical therapist records in Florida

Collin William Wallace, DPT is one of 704 orthopedic physical therapist records with a practice address in Florida. 33% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 48% of them.

  • NPI issued2015 · 48% of these records are older, 47% newer
  • In a Medicare fileYes · 33% of these records are
  • In the CMS Doctors and Clinicians fileYes · 34% of these records are
  • Graduated2015 · median 2014 among the 237 with a school on file
  • Record last updated2026 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2251X0800X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopedic Physical Therapist providers in Florida

There are 704 orthopedic physical therapist records in Florida.

The 8 orthopedic physical therapist records with the nearest ZIP codes

  1. Elizabeth Kuba, DPTRiverview, FL 335781972720340
  2. Nicholas TannerRiverview, FL 335781033784210
  3. Joseph Banach, PT, DPTRuskin, FL 335731366966905
  4. George Capote, DPTSun City Center, FL 335731457831927
  5. Angeline Leon, DPTRuskin, FL 335731639700644
  6. Michael Rademaker, DPTValrico, FL 335941841622289
  7. Sydney BakerPlant City, FL 335631770392573
  8. Jennifer Purvis, DPTValrico, FL 335961407286420

Common questions

What is Collin William Wallace, DPT's NPI number?

Collin William Wallace, DPT's National Provider Identifier (NPI) is 1568830719, issued on Sep 4, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Collin William Wallace, DPT located?

The NPPES record lists a practice address at 11375 Big Bend RD, Riverview, FL, 33579. Phone: (813) 805-8167. Providers update this record themselves, so call before visiting.

How can I verify Collin William Wallace, DPT's license?

NPPES lists Florida license number PT30787, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.