Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831577337 Individual Practitioner Male Practitioner

Keith Wallace

Occupational Therapy Assistant • Gilbert, AZ

Professional Overview & Biography Verified Profile Summary

Keith Wallace is a registered healthcare professional specializing in Occupational Therapy Assistant in Gilbert, AZ. Practice services are available at 4902 S VAL VISTA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4902 S Val Vista Dr
Suite B102

Gilbert, AZ 852987325

Telephone 4808558866
Associated Practice Facility / Clinic
🏢 Gs Consulting Group Llc Facility NPI 1790978625

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Gilbert, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.5 Yrs
Regional Practice Density
79 Specialists

Practicing in Gilbert, AZ (1065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License AZ 5853

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Sanford Goldstein , PT

Physical Therapist

NPI 1033285317

Physical Therapist

Kristine Smith , OT

Occupational Therapist

NPI 1053439745

Occupational Therapist

Tayler Ball , MS, OTR, L

Occupational Therapist

NPI 1083093629

Master of Science, Occupational Therapist Registered, L

Joshua Van Gundy

Occupational Therapy Assistant

NPI 1104204601
Chyna Coleman , OTR, L

Occupational Therapist - Physical Rehabilitation

NPI 1215389028

Occupational Therapist Registered, L

Christina Dusek

Occupational Therapist

NPI 1215655683

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2015

Registered at 4902 S VAL VISTA DR, SUITE B102, GILBERT, AZ 852987325 (Tel: 4808558866)

📍
Updated Business Mailing Address May 15, 2015

Registered at 9432 E CONQUISTADORES DR, SCOTTSDALE, AZ 852554343 (Tel: 6027030748)

👤
Provider Name / Credentials Updated May 15, 2015

Recorded as KEITH WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2015

Occupational Therapy Assistant (License #5853 in AZ)

🟢
Initial NPI Registration & Enumeration May 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831577337
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2015
Last Update: May 15, 2015
Sole Proprietor: Yes

Mailing Address

9432 E Conquistadores Dr

Scottsdale, AZ 852554343

Phone: 6027030748

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.