Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. BRADFORD ANTHONY WALLACE JR.
NPI 1609821636
Occupational Therapy Assistant in Newark, DE

Active since May 25, 2006
130 EXECUTIVE DR, NEWARK, DE 19702(302) 292-3454(302) 292-3464 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Bradford Anthony Wallace Jr. NPPES

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

MR. BRADFORD ANTHONY WALLACE JR. (NPI 1609821636) is an individual occupational therapy assistant in Newark, Delaware, licensed in Delaware (J2-0000629) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1609821636
Entity TypeIndividualMale
Primary Taxonomy224Z00000X
Provider Legal NameMR. BRADFORD ANTHONY WALLACE JR.
Location Address130 EXECUTIVE DRNewark, DE 19702-3349
Mailing Address2327 Pennsylvania AveWilmington, DE 19806-1318 · (302) 571-9567
Fax(302) 292-3464
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1609821636 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 DE · J2-0000629
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.
130 EXECUTIVE DR, Newark, DE 19702

Other Providers at the Same Location NPPES

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

Physical Therapy Assistant
130 EXECUTIVE DR
NEWARK, DE 19702

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 Bradford Wallace's NPI number?

The NPI number for Bradford Wallace is 1609821636. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Bradford Wallace located?

Bradford Wallace practices at 130 Executive Dr, Newark, DE 19702. The listed phone number is (302) 292-3454.

What is Bradford 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 Bradford Wallace was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.