MS. SANDRA J. WALLACE (NPI# 1093748717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093748717 |
| Entity Type | Individual |
| Full Name | MS. SANDRA J. WALLACE |
| Credential | OTR |
| Practice Address |
1701 N Collins Blvd Suite 100 Richardson TX 75080-3564 |
| Practice Telephone | 4693854900 |
| Practice Fax Number | 4693854265 |
| Mailing Telephone | 4693854900 |
| Mailing Fax Number | 4693854265 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 101166 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518153295 | Sandra Eugenia Wallace | Massage Therapist | 3627 Acornrun Ln, Spring, TX 77389-4721 | 2007-09-17 |
| 1710910617 | Sandra Marie Wallace | Pharmacist | 4501 Outer Loop, Louisville, KY 40219-3856 | 2006-07-07 |
| 1912273301 | Sandra Marie Wallace | Registered Nurse | 180 7th Ave, Brooklyn, NY 11203 | 2012-03-29 |
| 1811182868 | Sandra Frances Wallace | Licensed Practical Nurse | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2007-09-12 |
| 1245350172 | Sandra V Wallace | Registered Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2007-04-02 |
| 1235140930 | Sandra Louise Wallace | Internal Medicine | 50 Alessandro Pl, Suite 360, Pasadena, CA 91105-3149 | 2006-08-10 |
| Street Address |
1701 N COLLINS BLVD SUITE 100 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811962384 | Abimbola Olufemi Layeni | Psychiatry & Neurology | 1701 N Collins Blvd, Suite 126, Richardson, TX 75080-3564 | 2006-02-20 |
| 1447602727 | Tracy H Smith | Counselor | 1701 N Collins Blvd, Suite 120, Richardson, TX 75080-3564 | 2016-07-11 |
| 1558719112 | Financial Therapy Associates of Dallas, Inc. | Marriage & Family Therapist | 1701 N Collins Blvd, Suite 115, Richardson, TX 75080-3564 | 2016-05-24 |
| 1356799910 | Shellee Henson | Marriage & Family Therapist | 1701 N Collins Blvd, Suite 115, Richardson, TX 75080-3564 | 2016-05-24 |
| 1306286471 | Jennifer Kay Bogdanowitz | Speech-Language Pathologist | 1701 N Collins Blvd, Richardson, TX 75080-3564 | 2013-07-03 |
| 1992140586 | Danielle Avery Muntean | Speech-Language Pathologist | 1701 N Collins Blvd, Suite 100, Richardson, TX 75080-3564 | 2013-05-08 |
| 1548604937 | Michelle Justiss | Speech-Language Pathologist | 1701 N Collins Blvd, Suite 100, Richardson, TX 75080-3564 | 2013-04-29 |
| 1518301381 | Stephanie L Ochoa | Case Manager/Care Coordinator | 1701 N Collins Blvd, Suite 100, Richardson, TX 75080-3564 | 2013-04-24 |
| 1881038511 | Wileen Carr | Case Manager/Care Coordinator | 1701 N Collins Blvd, Suite Number 100, Richardson, TX 75080-3564 | 2013-04-24 |
| 1437415619 | Aleta Joy Creech | Speech-Language Pathologist | 1701 N Collins Blvd, Richardson, TX 75080-3564 | 2012-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083245260 | Jill Dianne Wood | Occupational Therapist | 1224 Cypress Dr, Richardson, TX 75080-4803 | 2020-01-28 |
| 1982123931 | Jessica A Baxter | Occupational Therapist | 2150 Lakeside Blvd #150, Richardson, TX 75082 | 2017-09-11 |
| 1487190849 | Adrian Kuykendall | Occupational Therapist | 910 St.lukes Drive, Richardson, TX 75080 | 2017-01-10 |
| 1073857272 | Lauren Jarvis | Occupational Therapist | 209 Aston Dr, Richardson, TX 75081-3601 | 2012-11-12 |
| 1760754295 | Krishna K Sarkar | Occupational Therapist | 2000 E Arapaho Rd, Apt # 22314, Richardson, TX 75081-3180 | 2012-01-30 |
| 1376826958 | Carol Jeanette Faro | Occupational Therapist | 510 N Coit Rd Ste 2035, Richardson, TX 75080-5437 | 2011-09-21 |
| 1922321876 | Sarah D. Gruhlkey | Occupational Therapist | 824 Sherwood Dr, Richardson, TX 75080-5905 | 2010-03-07 |
| 1174753115 | Lisa Cheek | Occupational Therapist | 911 Saint Lukes Dr, Richardson, TX 75080-4838 | 2009-07-24 |
| 1598990400 | Timothy Leon Williams | Occupational Therapist | 1723 Carol Stream Dr, Richardson, TX 75081-2120 | 2009-05-20 |
| 1497905970 | Husny Amerih | Occupational Therapist | 411 Buckingham Rd, #616, Richardson, TX 75081-5779 | 2008-09-22 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.