ANN ELIZABETH WALLACE OTR/L
NPI 1710240635
Occupational Therapist in Salt Lake City, UT
About Ann Elizabeth Wallace Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANN ELIZABETH WALLACE OTR/L (NPI 1710240635) is an individual occupational therapist in Salt Lake City, Utah, licensed in Utah (8336770-4201) and active in the NPI registry since June 2012.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ann Elizabeth Wallace Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ann Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SALT LAKE CITY, UT 84106
SALT LAKE CITY, UT 84106
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 Ann Wallace's NPI number?
The NPI number for Ann Wallace is 1710240635. It was assigned to this individual provider in the NPPES registry on June 18, 2012.
Where is Ann Wallace located?
Ann Wallace practices at 1138 E Wilmington Ave, Salt Lake City, UT 84106. The listed phone number is (801) 581-2221.
What is Ann Wallace's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Ann Wallace enrolled in Medicare?
Yes. Ann Wallace is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ann Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ann Wallace reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ann Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ann Wallace accept?
Health plans from Molina Healthcare list Ann 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 Ann Wallace was last updated on February 11, 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.