Genna Marie Wallerstein, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC013617 Issued in PA

Practice address

2024 Spring Garden St
Unit 2
Philadelphia, PA 19130-3878

Phone

(908) 930-2893

NPI assigned

Dec 10, 2014

Sex

Female

Sole proprietor

Yes

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": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1962800722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 SPRING GARDEN ST",
            "address_2": "UNIT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303878",
            "telephone_number": "908-930-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 SPRING GARDEN ST",
            "address_2": "UNIT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303878",
            "telephone_number": "908-930-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLERSTEIN",
        "first_name": "GENNA",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC013617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selemon Mulualem Walle, M.D.
• Lisa Barbara Wallenstein, M.D.
• Evelyn Waller
• Shaelyn Davis Waller, MSN, CPNP-AC, CHPPN
• Shakira Waller
• Kristi Ann Wallin, CRNA
• John M Wallis, MD
• Kate E Wallis, MD, MPH
• June A Wallison, M.D.
• Aaron W Wallman-Stokes, M.D.

• Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.