BROOKE ELIZABETH WALLACE OTR/L
NPI 1760025043
Occupational Therapist in Wilmington, NC
About Brooke Elizabeth Wallace Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKE ELIZABETH WALLACE OTR/L (NPI 1760025043) is an individual occupational therapist in Wilmington, North Carolina, licensed in North Carolina (12937) and active in the NPI registry since October 2019. She is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brooke Elizabeth Wallace Otr/l 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.
Medicare Billing Reassignment
Medicare enrollment records show Brooke Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilmington, NC 28411
- Reassigned Medicare billing, North Carolina enrollment
- 22 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILMINGTON, NC 28411
WILMINGTON, NC 28411
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 1760025043. It was assigned to this individual provider in the NPPES registry on October 19, 2019.
Where is Brooke Wallace located?
Brooke Wallace practices at 9020 Senca Dr Ste 220, Wilmington, NC 28411. The listed phone number is (910) 443-5225.
What is Brooke Wallace's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Brooke Wallace enrolled in Medicare?
Yes. Brooke 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.
Which organization bills Medicare for Brooke Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Wallace reassigns Medicare benefits to Eastern Therapy Solutions, PLLC (Wilmington, NC). 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 Brooke Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brooke Wallace was last updated on July 17, 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.