MARY WALLACE OTR
NPI 1689398141
Occupational Therapist in Saint Charles, MO

Active since September 28, 2022Accepts Medicare Assignment
2150 W RANDOLPH ST, SAINT CHARLES, MO 63301(636) 946-4966 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2023, Sep 28, 2022 (2 updates tracked since 2022).

About Mary Wallace Otr NPPES

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

MARY WALLACE OTR (NPI 1689398141) is an individual occupational therapist in Saint Charles, Missouri, licensed in Missouri (2022037104) and active in the NPI registry since September 2022. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1689398141
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMARY WALLACECredential: OTR
Location Address2150 W RANDOLPH STSaint Charles, MO 63301-0844
Mailing Address7527 Teasdale AveSaint Louis, MO 63130-3923
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 28, 2022
Last NPPES UpdateApril 14, 20232 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
NPI 1689398141 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 MO · 2022037104
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.
2150 W RANDOLPH ST, Saint Charles, MO 63301

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

Mary Wallace Otr 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 ID6709262140
PECOS Enrollment IDI20221007001740

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
925 services31 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
418 services29 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
396 services32 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
157 services15 patients
Evaluation for occupational therapy, typically 45 minutes 97166
An evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.
31 services27 patients

Other Providers at the Same Location NPPES 6

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

Occupational Therapist
2150 W RANDOLPH ST
SAINT CHARLES, MO 63301
Nurse Practitioner (Family)
2150 W RANDOLPH ST
SAINT CHARLES, MO 63301
Clinic/Center (Rehabilitation)
2150 W RANDOLPH ST
SAINT CHARLES, MO 63301
Skilled Nursing Facility
2150 W RANDOLPH ST
SAINT CHARLES, MO 63301
Skilled Nursing Facility
2150 W RANDOLPH ST
SAINT CHARLES, MO 63301
Skilled Nursing Facility
2150 W RANDOLPH ST
SAINT CHARLES, MO 63301

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 Mary Wallace's NPI number?

The NPI number for Mary Wallace is 1689398141. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Where is Mary Wallace located?

Mary Wallace practices at 2150 W Randolph St, Saint Charles, MO 63301. The listed phone number is (636) 946-4966.

What is Mary Wallace's specialty?

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

Is Mary Wallace enrolled in Medicare?

Yes. Mary 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 Mary Wallace accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Medica list Mary 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 Mary Wallace was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.