Individual provider · Type 1 NPI

Caleb Wallace, DPT

Physical Therapist · Charlotte, NC

NPI number 1801752340 Active

Practice location

3030 Randolph Rd Ste 105A
Charlotte, NC 28211-1365

Call (704) 512-4420 Map

Mailing address

12313 E Palermo Ct
Fort Mill, SC 29707-6483

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XP24590 (NC)

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 1801752340

Caleb Wallace, DPT's National Provider Identifier is 1801752340, issued on Dec 29, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Charlotte, NC. The record was last updated on Dec 29, 2025.