Carol Yvonne Wall, O.T.R., C.E.A.S

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105662 Issued in TX

Practice address

3451 S Chambers Rd
Aurora, CO 80014-5073

Phone

(303) 680-6121

Fax

(303) 680-8627

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Carol Yvonne Fulmer(Maiden) Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1013082064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15906 DUCKWEED CT",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801348895",
            "telephone_number": "303-250-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145073",
            "telephone_number": "303-680-6121",
            "fax_number": "303-680-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "CAROL",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "O.T.R., C.E.A.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "105662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "FULMER(MAIDEN)",
            "middle_name": "YVONNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Walker
• William Brian Walker II, RN
• Zachary Walker
• Anastacia L Wall, PA
• Brianna Katherine Wall, PA
• Devon Wall, FNP
• Hillary Wall
• Stacey Wall, PNP
• Mikayla P Walla
• Allen Wallace

• Occupational Therapist in Aurora, CO
• Providers in Aurora, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.