Lawrence Wallace, MD, PT
NPI 1679567192 · Physical Therapist · North Myrtle Beach, SC
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lawrence Wallace, MD, PT is a Physical Therapist provider in North Myrtle Beach, SC (NPI 1679567192).
Provider details
- NPI number
- 1679567192
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MD, PT
- Sex
- Male
- Sole proprietor
- No
- License
- MD439714 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Allopathic & Osteopathic Physicians
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
- 2005-09-12
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Frequently asked questions
- What is Lawrence Wallace's NPI number?
- Lawrence Wallace's National Provider Identifier (NPI) is 1679567192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lawrence Wallace's specialty?
- Lawrence Wallace is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Lawrence Wallace located?
- Lawrence Wallace's practice location on file with NPPES is 1021 2nd Ave N Ste 6, North Myrtle Beach, SC 29582-3200.
- What is Lawrence Wallace's phone number?
- The practice phone number listed in the NPPES registry for Lawrence Wallace is (843) 286-5168.
- Does Lawrence Wallace accept Medicare?
- Lawrence Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lawrence Wallace's NPI active?
- Yes — Lawrence Wallace's NPI (1679567192) is active in the NPPES registry as of the last update on 2026-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.