What is Grant Wallace's NPI number?

Grant Wallace's National Provider Identifier (NPI) is 1386514339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Grant Wallace's specialty?

Grant Wallace is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Grant Wallace located?

Grant Wallace's practice location on file with NPPES is 1865 Lpga Blvd, Daytona Beach, FL 32117-7108.

What is Grant Wallace's phone number?

The practice phone number listed in the NPPES registry for Grant Wallace is (386) 255-4596.

Does Grant Wallace accept Medicare?

Grant Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Grant Wallace's NPI active?

Yes — Grant Wallace's NPI (1386514339) is active in the NPPES registry as of the last update on 2025-11-13.

IndividualActiveAccepts Medicare

Grant Wallace, DPT

NPI 1386514339 · Physical Therapist · Daytona Beach, FL

Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Grant Wallace, DPT is a Physical Therapist provider in Daytona Beach, FL (NPI 1386514339).

Provider details

NPI number: 1386514339
Entity type: Individual
Primary specialty: Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: DPT
Sex: Male
Sole proprietor: No
License: PT43773 (FL)

Specialties & taxonomies

Physical TherapistPrimary225100000XLicense PT43773 (FL)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
4 documented practice locations

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

1865 Lpga Blvd

Daytona Beach, FL 32117-7108

Phone: (386) 255-4596

Fax: (386) 258-3561

Street-level locationGet directions

More FL providers

Mailing address

1865 Lpga Blvd

Daytona Beach, FL 32117-7108

Additional practice locations (3)

1890 Lpga Blvd Ste 240
Daytona Beach, FL 32117-7131
Phone: (386) 255-4596
Fax: (386) 258-3561
17 Old Kings Rd
Palm Coast, FL 32137-8282
Phone: (386) 255-4596
Fax: (386) 258-3561
1165 Dunlawton Ave Ste 102
Port Orange, FL 32127-2924
Phone: (386) 255-4596
Fax: (386) 258-3561

Enumerated: 2025-11-06
Last updated: 2025-11-13
Certified: 2025-11-13

Frequently asked questions

What is Grant Wallace's NPI number?: Grant Wallace's National Provider Identifier (NPI) is 1386514339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Grant Wallace's specialty?: Grant Wallace is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
Where is Grant Wallace located?: Grant Wallace's practice location on file with NPPES is 1865 Lpga Blvd, Daytona Beach, FL 32117-7108.
What is Grant Wallace's phone number?: The practice phone number listed in the NPPES registry for Grant Wallace is (386) 255-4596.
Does Grant Wallace accept Medicare?: Grant Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Grant Wallace's NPI active?: Yes — Grant Wallace's NPI (1386514339) is active in the NPPES registry as of the last update on 2025-11-13.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.