NPPES file of Aug 9, 2026

Kody Wallace

Physical Therapist · Mineral Wells, TX

Kody Wallace is a physical therapist with a practice address in Mineral Wells, Texas, and NPI 1912061607, issued on Dec 20, 2006. Check the license (Texas 1141471, as entered in NPPES) with the Texas 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
1912061607
Name
Kody Wallace
Primary taxonomy
Physical Therapist 225100000X
License number
1141471 TX
Self-reported in NPPES; status is on the state search
Practice location
400 SW 25TH Ave, Mineral Wells, TX 76067
Phone
(940) 328-6580
Enumerated
Dec 20, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(940) 328-6550
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 400 SW 25TH Ave

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

  1. Subrahman Boyareddigari, M.D.Gastroenterology Physician1790717874
  2. Raetta Bridges, FNPPrimary Care Nurse Practitioner1245923622
  3. Gayle Brooks, CFNPNurse Practitioner1346285749
  4. Corbin Calsoncin, RNCritical Care Medicine Registered Nurse1275260051
  5. Edmond Evans, D.O.Family Medicine Physician1275561540
  6. Burres Garrison, D. O.Emergency Medical Services (Emergency Medicine) Physician1174587356

Verify Kody Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license 1141471
    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 Texas 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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Kody Wallace among 15,190 physical therapist records in Texas

Kody Wallace is one of 15,190 physical therapist records with a practice address in Texas. 28% 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 2006, is newer than 1% of them.

  • NPI issued2006 · 1% of these records are older, 89% newer
  • In a Medicare fileNo · 28% of these records are
  • In the CMS Doctors and Clinicians fileNo · 30% of these records are
  • Record last updated2007 · 58% 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 Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

9 physical therapist records list a practice address in Mineral Wells

They are 9 of the 136 NPPES records with a practice address in Mineral Wells, and 15,190 physical therapist records in Texas. 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. Loyd Lendon Abastas, PTMineral Wells, TX 760671316425143
  2. Elizabeth Cameron, P.T.Mineral Wells, TX 760671265642649
  3. Hannah DickersonMineral Wells, TX 760671497555494
  4. Amy EsweinMineral Wells, TX 760671679833891
  5. Michael Gremminger, LPTMineral Wells, TX 760671861450488
  6. Chontell Holdman, PTMineral Wells, TX 760671821322827
  7. Brandon HonsMineral Wells, TX 760671730396185
  8. Gwendolyn Jones, LPTMineral Wells, TX 760671154389773

Common questions

What is Kody Wallace's NPI number?

Kody Wallace's National Provider Identifier (NPI) is 1912061607, issued on Dec 20, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Kody Wallace located?

The NPPES record lists a practice address at 400 SW 25TH Ave, Mineral Wells, TX, 76067. Phone: (940) 328-6580. Providers update this record themselves, so call before visiting.

How can I verify Kody Wallace's license?

NPPES lists Texas license number 1141471, as entered by the provider. Search the Texas 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.