Soraya A Wallace

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

005678 Issued in NY

Practice address

44 Court St Ste 314
Brooklyn, NY 11201-4419

Phone

(718) 855-5600

NPI assigned

Jan 20, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1093674467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 COURT ST STE 314",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 COURT ST STE 314",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014419",
            "telephone_number": "718-855-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SORAYA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "005678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Wallace, PA
• Pamela Wallace, LCSW
• Pauline Wallace
• Reginald Wallace, M.A.
• Sandra Marie Wallace, RN
• Tiffany Wallace
• Timothy Wallace, PA
• Valeria Wallace
• Adam Scott Wallach
• Anne Beverly Wallach, MSW

• Occupational Therapy Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.