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

CALEB WALLACE, DPT

Active Sole Proprietor

CALEB WALLACE, DPT is a Physical Therapy Assistant healthcare provider located in CHARLOTTE, North Carolina. NPI 1801752340 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CHARLOTTE, NC

Registration Details

NPI Number
1801752340
Provider Type
Individual
Gender
Male
NPI Issued
Dec 29, 2025 (0.6493153874264 yrs)
Last Updated
Dec 29, 2025
License
P24590 (NC)
Sole Proprietor
Yes

Practice Information

Address
3030 RANDOLPH RD STE 105A
CHARLOTTE, NC, 282111365
Browse NC providers · Browse ZIP 28211
Phone
7045124420
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in CHARLOTTE, NC

Name Credential NPI
MS. SHELLEY A. MAZZIE MPT 1922004761
MR. PAUL E ANDERSON PT OCS 1578557658
DEAN L. MONIOT MS, PT, OCS 1114917929
DONNA L HOPKINS PT 1376524975
MRS. ANTOINETTE OHLSON PT 1366423964
MR. DAVID F NOTA PT 1700867306
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.