RAYMOND M WALLACE COTA/L
NPI 1003490228
Occupational Therapy Assistant in Broken Arrow, OK

Active since May 12, 2021
6956 S 310TH EAST AVE, BROKEN ARROW, OK 74014(918) 230-8099 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raymond M Wallace Cota/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYMOND M WALLACE COTA/L (NPI 1003490228) is an individual occupational therapy assistant in Broken Arrow, Oklahoma, licensed in Oklahoma (569) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1003490228
Entity TypeIndividualMale
Primary Taxonomy224Z00000X
Provider Legal NameRAYMOND M WALLACECredential: COTA/L
Location Address6956 S 310TH EAST AVEBroken Arrow, OK 74014-5491
Mailing Address6956 S 310th East AveBroken Arrow, OK 74014-5491 · (918) 230-8099
Sole ProprietorYes
Enumeration DateMay 12, 2021
NPPES CertifiedMay 12, 2021
NPI 1003490228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in OK · 569
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
6956 S 310TH EAST AVE, Broken Arrow, OK 74014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raymond Wallace's NPI number?

The NPI number for Raymond Wallace is 1003490228. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Raymond Wallace located?

Raymond Wallace practices at 6956 S 310th East Ave, Broken Arrow, OK 74014. The listed phone number is (918) 230-8099.

What is Raymond Wallace's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Raymond Wallace was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.