BROOKE WALLACE COTA/L
NPI 1477020659
Occupational Therapy Assistant in Jonesboro, AR

Active since October 25, 2018
1699 RED WOLF BLVD, JONESBORO, AR 72401(870) 336-0021 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2021, Jun 4, 2019, May 6, 2019 and 1 more (4 updates tracked since 2018).

About Brooke Wallace Cota/l NPPES

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

BROOKE WALLACE COTA/L (NPI 1477020659) is an individual occupational therapy assistant in Jonesboro, Arkansas, licensed in Arkansas (OT-A1418) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1477020659
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameBROOKE WALLACECredential: COTA/L
Location Address1699 RED WOLF BLVDJonesboro, AR 72401-5442
Mailing Address313 Natchez DrJonesboro, AR 72404-9104 · (870) 253-9293
Sole ProprietorNo
Enumeration DateOctober 25, 2018
Last NPPES UpdateMay 20, 20214 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
NPI 1477020659 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 AR · OT-A1418
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.
1699 RED WOLF BLVD, Jonesboro, AR 72401

Other Names 1

Former Name (1)Brooke Turner

Other Identifiers 1

Medicaid231884721AR

Other Providers at the Same Location NPPES 10

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

Occupational Therapy Assistant
1699 RED WOLF BLVD
JONESBORO, AR 72401
Dentist (General Practice)
1699 RED WOLF BLVD, SUITE I
JONESBORO, AR 72401
Occupational Therapy Assistant
1699 RED WOLF BLVD
JONESBORO, AR 72401
Occupational Therapy Assistant
1699 RED WOLF BLVD
JONESBORO, AR 72401
Occupational Therapy Assistant
1699 RED WOLF BLVD
JONESBORO, AR 72401
Physical Therapy Assistant
1699 RED WOLF BLVD, SUITE H
JONESBORO, AR 72401
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
1699 RED WOLF BLVD
JONESBORO, AR 72401
Physical Therapist (Pediatrics)
1699 RED WOLF BLVD
JONESBORO, AR 72401

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 Brooke Wallace's NPI number?

The NPI number for Brooke Wallace is 1477020659. It was assigned to this individual provider in the NPPES registry on October 25, 2018. The provider is also known as Brooke Turner.

Where is Brooke Wallace located?

Brooke Wallace practices at 1699 Red Wolf Blvd, Jonesboro, AR 72401. The listed phone number is (870) 336-0021.

What is Brooke 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 Brooke Wallace was last updated on May 20, 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.