MR. BLAKE WALLACE
NPI 1821617663
Occupational Therapy Assistant in Germantown, TN

Active since April 12, 2020
7820 WALKING HORSE CIR, GERMANTOWN, TN 38138(901) 752-2500 Get Directions Write a Review

NPPES record last updated: April 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Blake Wallace NPPES

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

MR. BLAKE WALLACE (NPI 1821617663) is an individual occupational therapy assistant in Germantown, Tennessee, licensed in Mississippi (TA3704) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1821617663
Entity TypeIndividualMale
Primary Taxonomy224Z00000X
Provider Legal NameMR. BLAKE WALLACE
Location Address7820 WALKING HORSE CIRGermantown, TN 38138-2143
Mailing Address150 Evansville RdColdwater, MS 38618-6778 · (662) 561-5655
Sole ProprietorYes
Enumeration DateApril 12, 2020
NPPES CertifiedApril 12, 2020
NPI 1821617663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in MS · TA3704
Definition

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.

7820 WALKING HORSE CIR, Germantown, TN 38138

Other Providers at the Same Location NPPES 17

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

Skilled Nursing Facility
7820 WALKING HORSE CIR
GERMANTOWN, TN 38138
Physical Therapy Assistant
7820 WALKING HORSE CIR
GERMANTOWN, TN 38138
Occupational Therapy Assistant
7820 WALKING HORSE CIR
GERMANTOWN, TN 38138
Family Medicine
7820 WALKING HORSE CIR
GERMANTOWN, TN 38138
Physical Therapy Assistant
7820 WALKING HORSE CIR
GERMANTOWN, TN 38138
Occupational Therapy Assistant
7820 WALKING HORSE CIR
GERMANTOWN, TN 38138
Physical Therapy Assistant
7820 WALKING HORSE CIR
GERMANTOWN, TN 38138
Physical Therapist
7820 WALKING HORSE CIR
GERMANTOWN, TN 38138

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 Blake Wallace's NPI number?

The NPI number for Blake Wallace is 1821617663. It was assigned to this individual provider in the NPPES registry on April 12, 2020.

Where is Blake Wallace located?

Blake Wallace practices at 7820 Walking Horse Cir, Germantown, TN 38138. The listed phone number is (901) 752-2500.

What is Blake Wallace's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Blake Wallace was last updated on April 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.