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NPI · 1174595367 · NPPES-sourced

Mrs. Beverly Wallace Otr/L

ActiveOccupational Therapist
NPI Number
1174595367
Type 1 · Individual
Taxonomy Code
225X00000X
Contact
(941) 756-1003
License FL · OT9730
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2006-02-02
Primary practice addressFL · 34203-3453
3911 Golf Park Loop, Suite #105Bradenton, FL 34203-3453
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About this NPIWhat this record shows.

NPI 1174595367 is registered to Mrs. Beverly Wallace Otr/L, a Occupational Therapist practising at 3911 Golf Park Loop, Suite #105 in Bradenton, Florida. Occupational Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mrs. Beverly Wallace Otr/L has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-02-02
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • Y902FFL· Issued by BCBS

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mrs. Beverly Wallace Otr/L accepts. To confirm in-network status with your specific health plan, contact Mrs. Beverly Wallace Otr/L directly at (941) 756-1003.

Frequently asked

Yes. NPI 1174595367 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Occupational Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (941) 756-1003.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mrs. Beverly Wallace Otr/L is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy225X00000X
Last updated2007-07
Enumerated2006-02-02
StatusActive
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