Jackie Wallman, OTR/L, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

2001012856 Issued in MO

Practice address

4320 Wornall Rd
Suite 600
Kansas City, MO 64111-5941

Phone

(816) 932-3344

Fax

(816) 932-3993

NPI assigned

Oct 24, 2016

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1992256069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD",
            "address_2": "SUITE 600",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115941",
            "telephone_number": "816-932-3344",
            "fax_number": "816-932-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD",
            "address_2": "SUITE 600",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115941",
            "telephone_number": "816-932-3344",
            "fax_number": "816-932-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLMAN",
        "first_name": "JACKIE",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "2001012856",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "KS",
            "license": "17-01508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Waller, M.D.
• Sydney Ann Wallick
• Tara Stratton Wallingford, LSP
• Julie Wallis, SLP
• Jessica Sauber Wallisch, M.D.
• Christine Mary Walsh-Kelly, M.D.
• Dexter Allen Walsh-Wiggins, RN
• Irene R Walsh, M.D.
• Lindsay Walsh
• Lauren Raeann Walski, LMSW

• Hand Occupational Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Hand Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.