BROOKE ELIZABETH WALLACE OTR/L
NPI 1760025043
Occupational Therapist in Wilmington, NC

Active since October 19, 2019Accepts Medicare Assignment
9020 SENCA DR STE 220, WILMINGTON, NC 28411(910) 443-5225(910) 442-8372 Get Directions Write a Review

NPPES record last updated: July 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2022, Nov 9, 2020, Jan 24, 2020 and 1 more (4 updates tracked since 2019).

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

NPI1760025043
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameBROOKE ELIZABETH WALLACECredential: OTR/L
Location Address9020 SENCA DR STE 220Wilmington, NC 28411-6680
Mailing Address9020 Senca Dr Ste 220Wilmington, NC 28411-6680 · (910) 443-5225 · Fax (910) 442-8372
Fax(910) 442-8372
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 19, 2019
Last NPPES UpdateJuly 17, 20224 updates tracked since enumeration
NPPES CertifiedJuly 17, 2022
✔ NPI 1760025043 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 NC · 12937
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.
9020 SENCA DR STE 220, Wilmington, NC 28411

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.

PECOS PAC ID8022428614
PECOS Enrollment IDI20201119001951

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.

Occupational Therapist
9020 SENCA DR STE 220
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.

Occupational Therapist
9020 SENCA DR STE 220
WILMINGTON, NC 28411
Speech-Language Pathologist
9020 SENCA DR STE 220
WILMINGTON, NC 28411
Physical Therapist
9020 SENCA DR STE 220
WILMINGTON, NC 28411
Occupational Therapist
9020 SENCA DR STE 220
WILMINGTON, NC 28411
Occupational Therapist
9020 SENCA DR STE 220
WILMINGTON, NC 28411
Occupational Therapist
9020 SENCA DR STE 220
WILMINGTON, NC 28411
Speech-Language Pathologist
9020 SENCA DR STE 220
WILMINGTON, NC 28411
Occupational Therapist (Pediatrics)
9020 SENCA DR STE 220
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.