Connan Wallace, PT, DPT - Physical Therapist in Vineyard, UT

Connan Wallace, PT, DPT is a Physical Therapist based in Vineyard, Utah. Connan Wallace is licensed to practice in Utah (license number ) and his current practice location is 691 E 400 N Ste 210, Vineyard, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 766-4244.

NPI number for Connan Wallace is 1548019730 and his current mailing address is 4087 W Great Neck Dr, South Jordan, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548019730.

Contact Information

Connan Wallace, PT, DPT
691 E 400 N Ste 210,
Vineyard, UT 84059-7510
(801) 766-4244
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameConnan Wallace
GenderMale
SpecialityPhysical Therapist
Location691 E 400 N Ste 210, Vineyard, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548019730
  • Provider Enumeration Date: 05/18/2024
  • Last Update Date: 05/18/2024

Medical Identifiers

Medical identifiers for Connan Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548019730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Connan Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Connan Wallace, PT, DPT
4087 W Great Neck Dr,
South Jordan, UT 84009-6021

Ph: (801) 389-7298
Connan Wallace, PT, DPT
691 E 400 N Ste 210,
Vineyard, UT 84059-7510

Ph: (801) 766-4244

Reviews and Comments


Physical Therapist in Vineyard, UT

Jordan Collins, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 691 E 400 N Ste 210, Vineyard, UT 84059
Phone: 801-766-4244    
Mr. Marco Zanin, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 631 E 180 N Unit 103, Vineyard, UT 84059
Phone: 361-688-0159    
Back At Work Of Utah Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 773 E Mill Rd Ste D, Vineyard, UT 84059
Phone: 385-412-1117    
Dr. Travis Russell Peterson,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 59 N English Rd, Vineyard, UT 84058
Phone: 801-946-7514    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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