Trevor Wallace, PT
NPI 1760058242 · Physical Therapist · Knoxville, TN
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Trevor Wallace, PT is a Physical Therapist provider in Knoxville, TN (NPI 1760058242).
Provider details
- NPI number
- 1760058242
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 13354 (TN)
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
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,448 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 Using Functional Activities97530 | 608 | $30 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 604 | $21 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 95 | $20 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 81 | $8 |
| Evaluation for Physical Therapy, Typically 45 Minutes97163 | 31 | $91 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 29 | $93 |
Practice location
Mailing address
Additional practice locations (1)
- 9430 Park West Blvd Ste 230Knoxville, TN 37923-4204Phone: (865) 560-8550Fax: (865) 560-8551
Registry dates
- Enumerated
- 2021-06-03
- Last updated
- 2023-10-12
- Certified
- 2023-10-12
Frequently asked questions
- What is Trevor Wallace's NPI number?
- Trevor Wallace's National Provider Identifier (NPI) is 1760058242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Trevor Wallace's specialty?
- Trevor Wallace is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Trevor Wallace located?
- Trevor Wallace's practice location on file with NPPES is 1819 Clinch Ave Ste 106, Knoxville, TN 37916-2435.
- What is Trevor Wallace's phone number?
- The practice phone number listed in the NPPES registry for Trevor Wallace is (865) 633-0259.
- Does Trevor Wallace accept Medicare?
- Trevor Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Trevor Wallace's NPI active?
- Yes — Trevor Wallace's NPI (1760058242) is active in the NPPES registry as of the last update on 2023-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.