Kody Wallace
NPI 1912061607 · Physical Therapist · Mineral Wells, TX
Kody Wallace is a Physical Therapist provider in Mineral Wells, TX (NPI 1912061607).
Provider details
- NPI number
- 1912061607
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1141471 (TX)
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 tenure38% of score
19 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
- 2006-12-20
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kody Wallace's NPI number?
- Kody Wallace's National Provider Identifier (NPI) is 1912061607, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kody Wallace's specialty?
- Kody Wallace is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kody Wallace located?
- Kody Wallace's practice location on file with NPPES is 400 Sw 25th Ave, Mineral Wells, TX 76067-8246.
- What is Kody Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kody Wallace is (940) 328-6580.
- Is Kody Wallace's NPI active?
- Yes — Kody Wallace's NPI (1912061607) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.