Individual provider · Type 1 NPI

Grant Wallace, DPT

Physical Therapist · Daytona Beach, FL

NPI number 1386514339 Active

Practice location

1865 Lpga Blvd
Daytona Beach, FL 32117-7108

Call (386) 255-4596 Map

Fax (386) 258-3561

Other practice locations

  • 1890 Lpga Blvd Ste 240, Daytona Beach, FL 32117-7131 · (386) 255-4596
  • 1165 Dunlawton Ave Ste 102, Port Orange, FL 32127-2924 · (386) 255-4596
  • 17 Old Kings Rd, Palm Coast, FL 32137-8282 · (386) 255-4596

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT43773 (FL)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1386514339

Grant Wallace, DPT's National Provider Identifier is 1386514339, issued on Nov 6, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Daytona Beach, FL. The record was last updated on Nov 13, 2025.