PETER KENNEDY WALLACE OTR/L
NPI 1992273841
Occupational Therapist in Cedar City, UT
About Peter Kennedy Wallace Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER KENNEDY WALLACE OTR/L (NPI 1992273841) is an individual occupational therapist in Cedar City, Utah, licensed in Utah (10533523-4201) and active in the NPI registry since November 2018. He is a graduate of Other (2017).
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
Peter Kennedy 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 Peter Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84103
- Reassigned Medicare billing, Utah enrollment
- 493 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Peter Wallace's NPI number?
The NPI number for Peter Wallace is 1992273841. It was assigned to this individual provider in the NPPES registry on November 8, 2018.
Where is Peter Wallace located?
Peter Wallace practices at 166 W 1325 N Ste 100, Cedar City, UT 84721. The listed phone number is (435) 586-0064.
What is Peter Wallace's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Peter Wallace enrolled in Medicare?
Yes. Peter 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 Peter Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Wallace reassigns Medicare benefits to Ihc Health Services Inc (Salt Lake City, UT). 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 Peter 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 Peter Wallace was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.