Brandon Wallace, PT
NPI 1700395274 · Physical Therapist · Southfield, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brandon Wallace, PT is a Physical Therapist provider in Southfield, MI (NPI 1700395274).
Provider details
- NPI number
- 1700395274
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 5501018432 (MI)
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
8 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
6,009 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 | 1,835 | $24 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 1,487 | $21 |
| Therapy Procedure Using Functional Activities97530 | 1,482 | $32 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 1,052 | $19 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 58 | $97 |
| Re-Evaluation for Physical Therapy, Typically 20 Minutes97164 | 54 | $0 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-09-27
- Last updated
- 2017-09-27
Frequently asked questions
- What is Brandon Wallace's NPI number?
- Brandon Wallace's National Provider Identifier (NPI) is 1700395274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brandon Wallace's specialty?
- Brandon Wallace is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Brandon Wallace located?
- Brandon Wallace's practice location on file with NPPES is 29900 Southfield Rd, Southfield, MI 48076-2090.
- What is Brandon Wallace's phone number?
- The practice phone number listed in the NPPES registry for Brandon Wallace is (248) 663-0400.
- Does Brandon Wallace accept Medicare?
- Brandon Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brandon Wallace's NPI active?
- Yes — Brandon Wallace's NPI (1700395274) is active in the NPPES registry as of the last update on 2017-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.