Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brooke Elizabeth Wallace, OTR/L

Individual provider Occupational Therapist · NPI 1760025043

Brooke Elizabeth Wallace, OTR/L is an Occupational Therapist in Private Practice in Wilmington, North Carolina. Qualified in 2019, 7 years ago. Practices with Eastern Therapy Solutions, PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
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

9020 Senca Dr Ste 220
Wilmington, NC 28411-6680
Phone: (910) 443-5225
Fax: (910) 442-8372
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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 12937 (NC)

Record details

NPI number1760025043
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 19, 2019
Last updated in NPPESJuly 17, 2022
Certification dateJuly 17, 2022

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Eastern Therapy Solutions, Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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