Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Jim F Wallace, PT
Physical Therapist in Bend, OR · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1194928481
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Registry record
Entity type Individual (Type 1)
Name Mr. Jim F Wallace
Credential PT
Sex Male
Practice address 404 Ne Penn Ave, Bend, OR, 97701
Phone (541) 318-7041
Fax (541) 388-3711
Enumeration date Jun 6, 2007
Last updated in NPPES Dec 29, 2016
Taxonomy & licenses
2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2948 (OR) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 02948 (OR) Primary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation.
About the PT credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500694596 | Medicaid | OR | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1194928481 active?
Yes, as of the latest NPPES snapshot, NPI 1194928481 is active (record last updated 2016-12-29).
How do I verify Jim Wallace's NPI record?
Cross-check NPI 1194928481 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Georgia Merrifield Physical Therapist · Bend, OR NPI 1669454799 Jennifer Troth Physical Therapist · Bend, OR NPI 1467434597 Healing Bridge Physical Therapy Inc Physical Therapy Clinic/Center · Bend, OR NPI 1558344531 Allison Suran Physical Therapist · Bend, OR NPI 1710961321 Maureen Ditta Physical Therapist · Bend, OR NPI 1609854330 Francesca Manti Physical Therapist · Bend, OR NPI 1871607952 Heidi Cozier Physical Therapist · Bend, OR NPI 1508164955 Charlotte Watership Occupational Therapist · Bend, OR NPI 1285903534
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-29.