Collin William Wallace, DPT
NPI 1568830719ActiveIndividual· Physical Therapist, Orthopedic· Riverview, FL
Physical Therapist, Orthopedic (DPT) with Ohi West Medical Group LLC and 1 other group, practicing in Riverview, Florida. Medicare paid $27,620 for services to 57 patients in 2024.
Overview
| NPI | 1568830719 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Sep 4, 2015 |
| Last updated in NPPES | Mar 2, 2026 |
| Certified by provider | Mar 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | PT30787 | FL |
| Physical Therapist | 225100000X | PT30787 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 1,288 across 11 procedure codes |
| Paid by Medicare | $27,620 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Ohi West Medical Group LLCSt Petersburg, FL · 202 clinicians
- Optimal Performance and Physical Therapies-Riverview, LLC.Riverview, FL · 9 clinicians
Other orthopedic physical therapists in Riverview
- 1972720340
- 1033784210