Logan Wallace is a healthcare provider in Fayetteville, AR specializing in physical therapist in private practice. Logan is also listed as specializing in physical therapist. Medicare claims data shows Logan provided 501 services to 105 patients.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Source: NPPES NPI Registry
1188 N SALEM RD STE 1
Fayetteville, AR 72704
501 services · 105 patients · 5 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Therapy procedure using functional activities | Treatment | 97530 |
177 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | Treatment | 97112 |
141 |
| Therapy procedure using manual technique, each 15 minutes | Treatment | 97140 |
125 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | Treatment | 97110 |
46 |
| Evaluation for physical therapy, typically 30 minutes | Treatment | 97162 |
12 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Wallace is a physical therapist in private practice in Fayetteville, AR. This is the primary taxonomy recorded against the NPI in the federal registry, listed there as “PHYSICAL THERAPIST IN PRIVATE PRACTICE”.
NPI registry
Dr. Wallace is listed at 1188 N SALEM RD STE 1, Fayetteville, AR 72704. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (479) 595-0474. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Dr. Wallace's National Provider Identifier is 1720798325. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Wallace attended Other, graduating in 2021. This comes from the CMS National Downloadable File.
CMS public data
Dr. Wallace has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Wallace provides treatments such as therapy procedure using functional activities and therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Wallace. If this is you, claiming it is free.
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Claim this profileProvider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.