Shauna Wallace, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6369-26 Issued in WI

Practice address

10320 N Greenwood LN
Hayward, WI 54843-7167

Phone

(715) 634-2619

NPI assigned

Aug 12, 2015

Last updated

Jun 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shauna Ruud Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Burnett

  • Case Management Agency
  • Siren, WI
  • NPI 1598765125
  NPD (past)
• Northwood School District

  • Local Education Agency (LEA)
  • Minong, WI
  • NPI 1104005800
  NPD (past)
• Wesetern Region Recovery & Wellness Consortia

  • Community/Behavioral Health Agency
  • Siren, WI
  • NPI 1255989612
  NPD (past)

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1033585104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 STIGNEY ST",
            "city": "MINONG",
            "state": "WI",
            "postal_code": "548598001",
            "telephone_number": "715-558-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 N GREENWOOD LN",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437167",
            "telephone_number": "715-634-2619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 Chandler Dr",
            "address_purpose": "LOCATION",
            "city": "Spooner",
            "state": "WI",
            "postal_code": "548012202",
            "country_code": "US",
            "telephone_number": "715-635-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SHAUNA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "4861-27",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6369-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "RUUD",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Marie Wahl, RDH
• Sarah Wahlquist, OTR/L
• Wal-Mart Stores East LP (Walmart PHARMACY 10-3245)
• Wal-Mart Stores East, LP (Vision Center 30-3245)
• Walgreen Co (Walgreens #11857)
• Lynsey Michelle Weber
• Pamela L. Weber, PT
• Evan Wetzel, DPT
• Matthew Paul Wheeler, MD
• Tamilyn D White, LPC, NCC

• Occupational Therapist in Hayward, WI
• Providers in Hayward, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.