Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anders Wallock, MOT, OTR/L

Individual provider Occupational Therapist · NPI 1982294542

Anders Wallock, MOT, OTR/L is an Occupational Therapist in Private Practice in Saint Paul, Minnesota. Qualified in 2020, 6 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2021
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2270 Ford Pkwy Ste 200
Saint Paul, MN 55116-3412
Phone: (651) 696-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 106414 (MN)

Record details

NPI number1982294542
Entity typeIndividual (Type 1)
GenderMale
Credentials MOT , OTR/L
Sole proprietorNo
NPI enumeratedJanuary 19, 2021
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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