{"npi":"1063451375","type":"NPI-1","status":"active","name":{"display":"Bridgett Wallace Pt","other":[],"first":"BRIDGETT","last":"WALLACE","middle":"D'ANN","credential":"PT"},"specialty":{"primary_taxonomy":"2251N0400X","primary_taxonomy_description":"Neurology Physical Therapist","slug":"neurology-physical-therapist","schema_org_specialty":null,"all":[{"code":"2251N0400X","description":"Neurology Physical Therapist","primary":true,"state":"TX","license":"1104610"}]},"addresses":[{"purpose":"LOCATION","street_1":"7900 SHOAL CREEK BLVD","city":"AUSTIN","state":"TX","postal_code":"787578037","country_code":"US","street_2":"SUITE 200","phone":"5123454664","fax":"5123456150"},{"purpose":"MAILING","street_1":"5608 PARKCREST DR","city":"AUSTIN","state":"TX","postal_code":"787314972","country_code":"US","street_2":"STE 100","phone":"5123454664","fax":"5123456150"}],"license":{"state":"TX","number":"1104610"},"identifiers":[{"type_code":"01","label":"Other","value":"86683T","state":"TX","issuer":"BCBS INDIVIDUAL #"},{"type_code":"01","label":"Other","value":"0050HV","state":"TX","issuer":"BCBS GROUP #"},{"type_code":"01","label":"Other","value":"030384821","state":"TX","issuer":"PHCS PROVIDER #"},{"type_code":"01","label":"Other","value":"030384821","state":"TX","issuer":"TEXAS TRUE CHOICE"},{"type_code":"01","label":"Other","value":"030384821","state":"TX","issuer":"HUMANA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140522000118","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"TX","pac_id":"1658385729"}]},"enumeration_date":"2006-06-05","last_updated":"2019-01-31","_meta":{"source":"NPPES","snapshot_date":"2019-01-31","doc_url":"https://findmynpi.com/api"}}