JONATHAN DAVID WALLACE LOTR
NPI 1770219693
Occupational Therapist in Heflin, LA

Active since July 25, 2022
870 HIGHWAY 516, HEFLIN, LA 71039(318) 614-5684 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan David Wallace Lotr NPPES

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

JONATHAN DAVID WALLACE LOTR (NPI 1770219693) is an individual occupational therapist in Heflin, Louisiana, licensed in Louisiana (OTT.Z12243) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1770219693
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJONATHAN DAVID WALLACECredential: LOTR
Location Address870 HIGHWAY 516Heflin, LA 71039-3726
Mailing Address870 Highway 516Heflin, LA 71039-3726
Sole ProprietorYes
Enumeration DateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
NPI 1770219693 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 LA · OTT.Z12243
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.
870 HIGHWAY 516, Heflin, LA 71039

Other Providers at the Same Location NPPES

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

Occupational Therapist
870 HIGHWAY 516
HEFLIN, LA 71039

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 Jonathan Wallace's NPI number?

The NPI number for Jonathan Wallace is 1770219693. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Jonathan Wallace located?

Jonathan Wallace practices at 870 Highway 516, Heflin, LA 71039. The listed phone number is (318) 614-5684.

What is Jonathan Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Jonathan Wallace was last updated on July 25, 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.