Amy Ann Wallace, OTR-L
Amy Ann Wallace, OTR-L is an Occupational Therapist in Private Practice in South Lake Tahoe, California. Qualified in 2000, 26 years ago. Practices with Barton Medical Foundation, a 96-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in California and Nevada.
- Years since qualifying
- 26
- Licensed in
- CA, NV
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
10539 Professional Cir Ste 201South Lake Tahoe, CA 96150-3828
Phone: (775) 348-8800
Fax: (833) 687-1419
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (6)
- 1139 3rd St, South Lake Tahoe, CA 96150-3465 — (530) 543-5706
- 2170 South Ave, South Lake Tahoe, CA 96150-7026 — (530) 543-5896
- 935 Mica Dr Ste 13, Carson City, NV 89705-7181 — (775) 783-3065
- 1749 N Stewart St Ste 50, Carson City, NV 89706-2574 — (775) 348-8800
- 780 Vista Blvd Ste 100, Sparks, NV 89434-6677 — (775) 348-8800
- 155 Highway 50 Fl 2, Stateline, NV 89449-9816 — (775) 589-8953
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 0721 (NV) |
|---|---|
| Occupational Therapist | Taxonomy 225X00000X · Licence 3665 (CA) |
Record details
| NPI number | 1467517466 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTR-L |
| Sole proprietor | No |
| NPI enumerated | December 27, 2006 |
| Last updated in NPPES | July 24, 2023 |
| Certification date | July 20, 2023 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Barton Medical Foundation — 96 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in South Lake Tahoe
-
Jessica Tina Freeman, MSOTR/L
2170 S Ave, South Lake Tahoe, CA 96150-7008 · (530) 600-1922
-
Brittainy Hyslop, OTR
2170 S Ave, South Lake Tahoe, CA 96150-7026 · (530) 543-5896
-
Jana R Mortellaro, MS, OTR-L, CHT
2170 S Ave, South Lake Tahoe, CA 96150-7026 · (530) 543-5896
-
Jill Parmele, OTR
2170 S Ave, South Lake Tahoe, CA 96150-7026 · (530) 543-5896