Kelly Wallace, RPT
NPI 1184696023 · Physical Therapist · Choctaw, OK
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Wallace, RPT is a Physical Therapist provider in Choctaw, OK (NPI 1184696023).
Provider details
- NPI number
- 1184696023
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT2460 (OK)
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 tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
4,980 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 1,214 | $24 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 1,153 | $18 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 1,087 | $17 |
| Therapy Procedure Using Functional Activities97530 | 363 | $28 |
| Application of Mechanical Traction97012 | 362 | $9 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 334 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-05
- Last updated
- 2015-04-27
Frequently asked questions
- What is Kelly Wallace's NPI number?
- Kelly Wallace's National Provider Identifier (NPI) is 1184696023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Wallace's specialty?
- Kelly Wallace is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelly Wallace located?
- Kelly Wallace's practice location on file with NPPES is 13390 Ne 23rd St, Choctaw, OK 73020-8622.
- What is Kelly Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kelly Wallace is (405) 769-5555.
- Does Kelly Wallace accept Medicare?
- Kelly Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Wallace's NPI active?
- Yes — Kelly Wallace's NPI (1184696023) is active in the NPPES registry as of the last update on 2015-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.