BROOKE ELIZABETH WALLACE (NPI# 1760025043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760025043 |
| Entity Type | Individual |
| Full Name | BROOKE ELIZABETH WALLACE |
| Credential | OTR/L |
| Practice Address |
740 Greenville Blvd Ste 400 #133 Greenville NC 27858 |
| Practice Telephone | 2522270251 |
| Practice Fax Number | 9104428372 |
| Mailing Telephone | 2522270251 |
| Mailing Fax Number | 9104428372 |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 12937 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043743495 | Brooke Wallace | Behavioral Analyst | 1513 Canary Dr, Little Elm, TX 75068-8460 | 2017-04-04 |
| 1093199200 | Brooke Wallace | Behavioral Analyst | 13015 W 2nd Pl Apt 212, Lakewood, CO 80228-1317 | 2015-07-17 |
| 1427688506 | Brooke Wallace | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-01-17 |
| 1477020659 | Brooke Wallace | Occupational Therapy Assistant | 1699 Red Wolf Blvd, Jonesboro, AR 72401-5442 | 2018-10-25 |
| 1538490347 | Brooke Wallace | Occupational Therapist | 505 N Sam Houston Pkwy E, 200, Houston, TX 77060-4018 | 2010-01-18 |
| 1730228057 | Brooke Mary Wallace | Social Worker | 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 | 2007-02-05 |
| Street Address |
740 GREENVILLE BLVD STE 400 #133 |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| 1548771983 | Carolina Assessment and Treatment Services | Clinic/Center | 222-c Cotanche Street, Greenville, NC 27858 | 2017-10-12 |
| Find all providers in zip 27858 | ||||
| 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 |
|---|---|---|---|---|
| 1861009847 | Moonbeam and Miracles Therapeutic Horsemanship Center | Occupational Therapist | 2075 Nc Highway 121, Greenville, NC 27834-7188 | 2020-09-24 |
| 1992320568 | Lauren E Craig | Occupational Therapist | 313 Saint Helena Ct, Greenville, SC 29607-5988 | 2020-06-10 |
| 1811526023 | Jeffrey David Loveland | Occupational Therapist | 312 Crestmont Way Bldg 300, Greenville, SC 29615-5055 | 2020-04-08 |
| 1396379723 | Pt Solutions of Acworth LLC | Occupational Therapist | 1322 E Washington St Ste B1, Greenville, SC 29607-1867 | 2020-02-25 |
| 1164984407 | Michele Vance | Occupational Therapist | 25 Woods Lake Rd Ste 503, Greenville, SC 29607-6125 | 2019-04-04 |
| 1790243871 | Lindsey Michele Keys | Occupational Therapist | 48 Mcprice Ct Apt 414, Greenville, SC 29615-6344 | 2019-03-07 |
| 1992279970 | Elizabeth Webb Carraway | Occupational Therapist | 1925 Turnbury Dr, Greenville, NC 27858-6168 | 2019-01-14 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1700389897 | Cheryl Diane Vantimmeren | Occupational Therapist | 6896 S Greenville Rd Ste 200, Greenville, MI 48838-1081 | 2018-03-14 |
| 1730695065 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 20 Austin Ave Ofc 1, Greenville, RI 02828-1449 | 2017-12-22 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
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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.