Active NPI
Haley Elizabeth Wall, MS OTR/L
- Pediatric Occupational Therapist
- El Paso, TX
National Provider Identifier
1992587281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 124455
- Practice address
- 2300 George Dieter Dr
El Paso, TX 79936-3963 - Phone
- (915) 213-0653
- NPI assigned
- Oct 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 124455 | TX | Primary |
Addresses
Primary practice location
2300 George Dieter Dr
El Paso, TX 79936-3963
Mailing address
2011 Broadway St Ste 130
Pearland, TX 77581-5945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124455 | TX | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1992587281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 BROADWAY ST STE 130",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GEORGE DIETER DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799363963",
"telephone_number": "915-213-0653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "HALEY",
"middle_name": "ELIZABETH",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-20",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "124455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.