NICOLE WALLIS
NPI 1629739206
Occupational Therapist in Greenwood, IN

Active since January 05, 2022Accepts Medicare Assignment
3000 N STATE RD 135, GREENWOOD, IN 46143(800) 777-7775 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Nicole Wallis NPPES

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

NICOLE WALLIS (NPI 1629739206) is an individual occupational therapist in Greenwood, Indiana and active in the NPI registry since January 2022. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1629739206
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameNICOLE WALLIS
Location Address3000 N STATE RD 135Greenwood, IN 46143
Mailing Address910 N Dequincy StIndianapolis, IN 46201-2844
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 5, 2022
NPPES CertifiedJanuary 4, 2022
NPI 1629739206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
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.
Also ListedOccupational Therapist · NeurorehabilitationTaxonomy 225XN1300X
3000 N STATE RD 135, Greenwood, IN 46143

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

Nicole Wallis 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 ID4183019854
PECOS Enrollment IDI20220315002254

Other Providers at the Same Location NPPES 2

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

Occupational Therapist
3000 N STATE RD 135
GREENWOOD, IN 46143
Psychiatry & Neurology (Psychiatry)
3000 N STATE RD 135, STE 230
GREENWOOD, IN 46143

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 Nicole Wallis's NPI number?

The NPI number for Nicole Wallis is 1629739206. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Nicole Wallis located?

Nicole Wallis practices at 3000 N State Rd 135, Greenwood, IN 46143. The listed phone number is (800) 777-7775.

What is Nicole Wallis's specialty?

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

Is Nicole Wallis enrolled in Medicare?

Yes. Nicole Wallis 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.

When was this NPI record last updated?

The NPPES record for Nicole Wallis was last updated on January 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.