Doctor profile · Federal record
Dr. ROBERT WALLACE, DPT
Physical Therapist · CHARLOTTE, NC
- NPI 1255972568
- MIPS 96.9 / 100 · 2023
- 7 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5935 CARNEGIE BLVD STE 104
CHARLOTTE, NC 282094672
(043) 232-5007
fax (704) 323-3993 - Mailing address
-
PO BOX 601791
CHARLOTTE, NC 282601791
Credentials & registration
- NPI registered
- October 2019 — 7 yrs on file
- Profile last updated
- January 31, 2025
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- North Carolina #P19188
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255972568. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,264
Distinct HCPCS
5
Medicare allowed
$36,463
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 539 | 82 | $22 | |
97530 |
Therapy procedure using functional activities | 257 | 48 | $33 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 204 | 43 | $20 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 202 | 54 | $29 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 62 | 58 | $97 |
In context: peer comparison
Among 96 peers in this city , average services per provider: 276. This provider delivers 4.6× the peer median.