Gary Wallace, PTA
NPI 1003009184 · Physical Therapy Assistant · Jackson, MS
Gary Wallace, PTA is a Physical Therapy Assistant provider in Jackson, MS (NPI 1003009184).
Provider details
- NPI number
- 1003009184
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- A2636 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-22
- Last updated
- 2007-08-22
Frequently asked questions
- What is Gary Wallace's NPI number?
- Gary Wallace's National Provider Identifier (NPI) is 1003009184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Wallace's specialty?
- Gary Wallace is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Gary Wallace located?
- Gary Wallace's practice location on file with NPPES is 13 Northtown Dr, Jackson, MS 39211.
- What is Gary Wallace's phone number?
- The practice phone number listed in the NPPES registry for Gary Wallace is (601) 206-9195.
- Is Gary Wallace's NPI active?
- Yes — Gary Wallace's NPI (1003009184) is active in the NPPES registry as of the last update on 2007-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.