Robin Wallace, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

212138 Issued in TX

Practice address

15700 Wyoming Dr
Suite 221
Frisco, TX 75035-6696

Phone

(908) 894-0532

NPI assigned

Jun 24, 2011

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

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": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1669768925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 WYOMING DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 WYOMING DR",
            "address_2": "SUITE 221",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356696",
            "telephone_number": "908-894-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ROBIN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "212138",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA1369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Wall
• Wallace Health Services
• Brenetta N. Wallace
• Nicole Wallace, LPC-A
• Rachel Elizabeth Wallace, APRN, FNP-C
• Paul Waller
• Remonica Lasha Waller
• Margaret Virginia Wallis, FACCE, LCCE, BSS
• Lauren Walter
• Kim Lanay Walters, OTR

• Occupational Therapy Assistant in Frisco, TX
• Providers in Frisco, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.