STACEY WALLACE OTRL
NPI 1043951957
Occupational Therapist in Midland, MI

Active since April 05, 2022Accepts Medicare Assignment
5600 WALDO AVE, MIDLAND, MI 48642(989) 575-3255 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Wallace Otrl NPPES

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

STACEY WALLACE OTRL (NPI 1043951957) is an individual occupational therapist in Midland, Michigan, licensed in Michigan (5201011236) and active in the NPI registry since April 2022. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1043951957
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSTACEY WALLACECredential: OTRL
Location Address5600 WALDO AVEMidland, MI 48642-6438
Mailing Address3326 Binscarth AveSaginaw, MI 48602-3203 · (989) 327-9967
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
NPI 1043951957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in MI · 5201011236
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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.
5600 WALDO AVE, Midland, MI 48642

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacey Wallace Otrl is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709273493
PECOS Enrollment IDI20220427002614

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
5600 WALDO AVE
MIDLAND, MI 48642

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 Stacey Wallace's NPI number?

The NPI number for Stacey Wallace is 1043951957. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Stacey Wallace located?

Stacey Wallace practices at 5600 Waldo Ave, Midland, MI 48642. The listed phone number is (989) 575-3255.

What is Stacey Wallace's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Stacey Wallace enrolled in Medicare?

Yes. Stacey Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacey Wallace accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Stacey Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Wallace was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.