NPPES file of Aug 9, 2026

Kelly Lynn Wallace, DPT

Physical Therapist · Los Angeles, CA

Kelly Lynn Wallace, DPT is a physical therapist with a practice address in Los Angeles, California, and NPI 1750268520, issued on Aug 21, 2025. Check the license (California 310150, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

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

NPPES recordNPPES file of Aug 9, 2026
1750268520
Name
Kelly Lynn Wallace
Credential
DPT
Primary taxonomy
Physical Therapist 225100000X
License numbers
310150 CA
PT43619 FL
1407872 TX
Self-reported in NPPES; status is on the state search
Practice location
6801 Park Ter Ste 200, Los Angeles, CA 90045
Phone
(310) 665-7100
Enumerated
Aug 21, 2025
Record last updated
May 26, 2026
Fax
(310) 665-7101
Medicare enrollment
Enrolled (PECOS I20250917001570); may accept 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 6801 Park Ter Ste 200

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

  1. Shelby DonahuePhysical Therapy Assistant1023938198
  2. Jessica GassPhysical Therapist1295249639
  3. Robert Gladstone, OTR/LOccupational Therapist1083248934
  4. Charles Homoky, PT, DPTPhysical Therapist1285163535
  5. Erika LarkPhysical Therapist1811544737
  6. Samantha MongePhysical Therapist1316795883

Verify Kelly Lynn Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 310150
    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
Find the California 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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Kelly Lynn Wallace among 22,531 physical therapist records in California

Kelly Lynn Wallace, DPT is one of 22,531 physical therapist records with a practice address in California. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 92% of them.

  • NPI issued2025 · 92% of these records are older, 3% newer
  • In a Medicare fileNo · 32% of these records are
  • In the CMS Doctors and Clinicians fileYes · 34% of these records are
  • Graduated2025 · median 2017 among the 7,751 with a school on file
  • Record last updated2026 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1,208 physical therapist records list a practice address in Los Angeles

They are 1,208 of the 69,537 NPPES records with a practice address in Los Angeles, and 22,531 physical therapist records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 physical therapist records with the nearest ZIP codes

  1. Curtis Bouton, P.T.Los Angeles, CA 900451386699155
  2. Christopher Graham, PTLos Angeles, CA 900451740288794
  3. Douglas Hagy, PTLos Angeles, CA 900451063426914
  4. Marta Katz, PTLos Angeles, CA 900451033117163
  5. Maria Lugue, P.T.Los Angeles, CA 900451629080320
  6. Wendy Matsuda, P.T.Los Angeles, CA 900451235237736
  7. Gina Minchella, D.P.T.Los Angeles, CA 900451053322966
  8. Vincent Newman, P.T., ATRICWestchester, CA 900451841211257

Common questions

What is Kelly Lynn Wallace, DPT's NPI number?

Kelly Lynn Wallace, DPT's National Provider Identifier (NPI) is 1750268520, issued on Aug 21, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Kelly Lynn Wallace, DPT located?

The NPPES record lists a practice address at 6801 Park Ter Ste 200, Los Angeles, CA, 90045. Phone: (310) 665-7100. Providers update this record themselves, so call before visiting.

How can I verify Kelly Lynn Wallace, DPT's license?

NPPES lists California license number 310150, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. 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.