Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609821636 Individual Practitioner Male Practitioner

Bradford Anthony Wallace

Occupational Therapy Assistant • Newark, DE

Professional Overview & Biography Verified Profile Summary

Bradford Wallace is a registered healthcare professional specializing in Occupational Therapy Assistant in Newark, DE. Practice services are available at 130 EXECUTIVE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 Executive Dr

Newark, DE 197023349

Telephone 3022923454
Fax 3022923464

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Newark, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
37 Specialists

Practicing in Newark, DE (241 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 DE J2-0000629

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

3 Associated Practitioners
Karen Day , PT

Physical Therapist

NPI 1003855131

Physical Therapist

Jamie Soutar , PTA

Physical Therapy Assistant

NPI 1295781243

Physical Therapist Assistant

Bijal Shah , MPT

Physical Therapist

NPI 1841701174

Master of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 130 EXECUTIVE DR, NEWARK, DE 197023349 (Tel: 3022923454)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2327 PENNSYLVANIA AVE, WILMINGTON, DE 198061318 (Tel: 3025719567)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRADFORD WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Occupational Therapy Assistant (License #J2-0000629 in DE)

🟢
Initial NPI Registration & Enumeration May 25, 2006

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: 1609821636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

2327 Pennsylvania Ave

Wilmington, DE 198061318

Phone: 3025719567

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.