Lori Wallace, RPT - Physical Therapist in Bethany, OK

Lori Wallace, RPT is a Physical Therapist - Pediatrics based in Bethany, Oklahoma. Lori Wallace is licensed to practice in Oklahoma (license number 1399) and her current practice location is 6800 Nw 39th Expy, Bethany, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (405) 440-9866.

NPI number for Lori Wallace is 1689991366 and her current mailing address is 6800 Nw 39th Expy, Bethany, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689991366.

Contact Information

Lori Wallace, RPT
6800 Nw 39th Expy,
Bethany, OK 73008-2513
(405) 440-9866
(405) 782-0024



Healthcare Provider's Profile

Full NameLori Wallace
GenderFemale
SpecialityPhysical Therapist - Pediatrics
Location6800 Nw 39th Expy, Bethany, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689991366
  • Provider Enumeration Date: 04/21/2010
  • Last Update Date: 10/19/2015

Medical Identifiers

Medical identifiers for Lori Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689991366NPI-NPPES
200284400AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics 1399 (Oklahoma)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. Lori 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
Lori Wallace, RPT
6800 Nw 39th Expy,
Bethany, OK 73008-2513

Ph: (405) 440-9866
Lori Wallace, RPT
6800 Nw 39th Expy,
Bethany, OK 73008-2513

Ph: (405) 440-9866

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Physical Therapist in Bethany, OK

Siera Alexis Hemans, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 6729 Nw 39th Expy, Bethany, OK 73008
Phone: 405-981-4001    
Alysson Stewart,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008
Phone: 405-789-6711    Fax: 405-408-1235
Brooke Foley,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008
Phone: 405-789-6711    Fax: 405-438-3834
Dr. Jenna L Anderson, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008
Phone: 405-789-6711    Fax: 405-438-3834
Kaitlyn Danae Miller, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008
Phone: 405-789-6711    Fax: 405-438-3834
Mary Johns, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008
Phone: 405-440-9866    Fax: 405-782-0024
Eugene Deloach Jr., DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 6729 Nw 39th Expy, Bethany, OK 73008
Phone: 405-717-6290    

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