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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRANT WALLACE, DPT

Active

GRANT WALLACE, DPT is a Physical Therapy Assistant healthcare provider located in DAYTONA BEACH, Florida. NPI 1386514339 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · DAYTONA BEACH, FL

Registration Details

NPI Number
1386514339
Provider Type
Individual
Gender
Male
NPI Issued
Nov 6, 2025 (0.77469704671458 yrs)
Last Updated
Nov 13, 2025
License
PT43773 (FL)

Practice Information

Address
1865 LPGA BLVD
DAYTONA BEACH, FL, 321177108
Browse FL providers · Browse ZIP 32117
Phone
3862554596
Fax
3862583561
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in DAYTONA BEACH, FL

Name Credential NPI
MRS. VIRGINIA GAGLIONE MCFARLAND PT 1124061312
MR. DAN RUSSELL SAYGER PT 1518982107
DR. MICHEL VAN THIELEN PT, AP, OMD 1841200144
MS. CHERYL J WYNN DPT 1093811614
ASAAD TAWFIK SAEED 1013016195
MRS. SARAH T THOMAS RPT 1912098054
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.