ELI WILLIAM WALLACE OT
NPI 1891538070
Occupational Therapist in Lafayette, LA

Active since June 17, 2024Accepts Medicare Assignment
400 POLLY LN, LAFAYETTE, LA 70508(337) 443-0652 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eli William Wallace Ot NPPES

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

ELI WILLIAM WALLACE OT (NPI 1891538070) is an individual occupational therapist in Lafayette, Louisiana, licensed in Louisiana (OTT.200733) and active in the NPI registry since June 2024. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1891538070
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameELI WILLIAM WALLACECredential: OT
Location Address400 POLLY LNLafayette, LA 70508-4966
Mailing Address105 Concerto CrstDuson, LA 70529-3352 · (337) 258-5264
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 17, 2024
NPPES CertifiedJune 16, 2024
NPI 1891538070 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.200733
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.
400 POLLY LN, Lafayette, LA 70508

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Eli William Wallace Ot 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 ID7810433125
PECOS Enrollment IDI20240723002998

Other Providers at the Same Location NPPES

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

Physical Therapist
400 POLLY LN, SUITE 160
LAFAYETTE, LA 70508

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 Eli Wallace's NPI number?

The NPI number for Eli Wallace is 1891538070. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Eli Wallace located?

Eli Wallace practices at 400 Polly Ln, Lafayette, LA 70508. The listed phone number is (337) 443-0652.

What is Eli Wallace's specialty?

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

Is Eli Wallace enrolled in Medicare?

Yes. Eli 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.

When was this NPI record last updated?

The NPPES record for Eli Wallace was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.