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Ryan James Wallace, PT, DPT, OCS, MTC

Physical Therapist in Bonita Springs, FL · enumerated 2006 · practices at Douglass Orthopedic & Spine Rehabilitation, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568420354

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Registry record

Entity type Individual (Type 1)
Name Ryan James Wallace
Credential PT, DPT, OCS, MTC
Sex Male
Practice address 25241 Elementary Way, Ste 200, Bonita Springs, FL, 34135
Phone (239) 947-4184
Fax (239) 947-4171
Enumeration date May 2, 2006
Last updated in NPPES May 12, 2015

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT 18604 (FL) Primary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential

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.

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Frequently asked questions

What is the NPI number for Ryan Wallace?
The National Provider Identifier (NPI) for Ryan Wallace is 1568420354, a Type 1 (individual) record in the CMS NPPES registry.
Where does Ryan Wallace practice?
The practice location on file with NPPES is in Bonita Springs, FL. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-12.