Derek Wallace
NPI 1083925283 · Physical Therapy Assistant · Evansville, IN
Derek Wallace is a Physical Therapy Assistant provider in Evansville, IN (NPI 1083925283).
Provider details
- NPI number
- 1083925283
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 06001705A (IN)
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
16 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
- 2010-06-23
- Last updated
- 2010-06-23
Frequently asked questions
- What is Derek Wallace's NPI number?
- Derek Wallace's National Provider Identifier (NPI) is 1083925283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Wallace's specialty?
- Derek Wallace is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Derek Wallace located?
- Derek Wallace's practice location on file with NPPES is 150 N Rosenberger Ave, Evansville, IN 47712-6503.
- What is Derek Wallace's phone number?
- The practice phone number listed in the NPPES registry for Derek Wallace is (812) 491-3856.
- Is Derek Wallace's NPI active?
- Yes — Derek Wallace's NPI (1083925283) is active in the NPPES registry as of the last update on 2010-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.