Meredith Lauren Wallis, M.S., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2877 Issued in AR

Practice address

1320 Davis St
Conway, AR 72034-3919

Phone

(254) 652-7074

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By 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 1

Addresses

Other names 1

• Miss Meredith Lauren Dibrell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Alptp, PLLC

  dba Hippos & Fish Pediatric Therapy Services

  • Pediatric Occupational Therapist
  • North Little Rock, AR
  • NPI 1164039608
  NPD (past)

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1164880803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 DAVIS ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343919",
            "telephone_number": "254-652-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 DAVIS ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343919",
            "telephone_number": "254-652-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "MEREDITH",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "DIBRELL",
            "middle_name": "LAUREN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terry L. Walker, MHPP
• Linda Wall
• Liberty Merrit Wallace
• Rodney Waller, RECOVERY ASSISTANT
• Amie Wallis, CCC-SLP
• Leigh D Walls, SLP
• Tamylyn Walls
• Walmart Inc. (Walmart Pharmacy 10-0005)
• Walmart Inc. (Walmart Pharmacy 10-2575)
• Walmart Inc. (Walmart Pharmacy 10-3168)

• Occupational Therapist in Conway, AR
• Providers in Conway, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.