Dr Eric T Wallace, DPT - Physical Therapist in Appleton, WI

Dr Eric T Wallace, DPT is a Physical Therapist based in Appleton, Wisconsin. Dr Eric T Wallace is licensed to practice in Wisconsin (license number 11251) and his current practice location is W5361 County Road Kk Ste E, Appleton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 540-2344.

NPI number for Dr Eric T Wallace is 1417183476 and his current mailing address is W5361 County Road Kk Ste E, Appleton, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417183476.

Contact Information

Dr Eric T Wallace, DPT
W5361 County Road Kk Ste E,
Appleton, WI 54915-7271
(920) 540-2344
(920) 779-1460



Healthcare Provider's Profile

Full NameDr Eric T Wallace
GenderMale
SpecialityPhysical Therapist
LocationW5361 County Road Kk Ste E, Appleton, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417183476
  • Provider Enumeration Date: 06/04/2009
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Dr Eric T Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417183476NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic 11251-24 (Wisconsin)Secondary
225100000XPhysical Therapist 11251 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Eric T Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Eric T Wallace, DPT
W5361 County Road Kk Ste E,
Appleton, WI 54915-7271

Ph: (920) 540-2344
Dr Eric T Wallace, DPT
W5361 County Road Kk Ste E,
Appleton, WI 54915-7271

Ph: (920) 540-2344

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› Verified 2 days ago


Physical Therapist in Appleton, WI

Orthopedic & Spine Therapy Of Menasha
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4000 N Providence Ave, Appleton, WI 54913
Phone: 920-257-2000    
Ms. Jennifer Lynn Nevinski, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: N496 Milky Way, Appleton, WI 54915
Phone: 920-738-2960    
Chandler Riem,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2105 N Enterprise Ave, Appleton, WI 54913
Phone: 920-560-1000    
Kathleen M. Vandrunen,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2915 N Meade St, Appleton, WI 54911
Phone: 920-831-8711    
Mrs. Lisa Katherine Buehler, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3375 W Brewster St, Appleton, WI 54914
Phone: 920-749-5870    
David Michael Denell, MPT LAT/C
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-4101    
Richelle Ag Fenter, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2200 S Kensington Drive, Appleton, WI 54915
Phone: 920-738-0200    Fax: 920-738-0383

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