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Active NPI 1174595367 Individual Practitioner Female Practitioner

Beverly Wallace , OTR, L

Occupational Therapist • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Beverly Wallace, OTR, L is a registered healthcare professional specializing in Occupational Therapist in Bradenton, FL. Practice services are available at 3911 GOLF PARK LOOP under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using functional activities, training for self-care or home management, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3911 Golf Park Loop
Suite #105

Bradenton, FL 342033453

Telephone 9417561003
Fax 9417566003
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
135 Specialists

Practicing in Bradenton, FL (8046 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
144 11 $50.00 $21.63

Medical Specialties & State Licenses

Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License FL OT9730

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
Y902F (FL)

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1063886117

Physical Therapist Assistant

Donald Boulanger , OTR, L

Occupational Therapist

NPI 1124090311

Occupational Therapist Registered, L

Heather Anacki

Speech-Language Pathologist

NPI 1235557745
Marla Entelisano , COTA, L

Occupational Therapy Assistant

NPI 1265184386

Certified Occupational Therapy Assistant, L

Ashley Hood , MA, CCC-SLP

Speech-Language Pathologist

NPI 1427587427

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Brent Cheyne , OTD, OTR, L

Occupational Therapist

NPI 1558814723

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 3911 GOLF PARK LOOP, SUITE #105, BRADENTON, FL 342033453 (Tel: 9417561003)

📍
Updated Business Mailing Address July 09, 2007

Registered at 6477 INDIGO BUNTING PL, BRADENTON, FL 342028246 (Tel: 9417561003)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as BEVERLY WALLACE, OTR/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Occupational Therapist (License #OT9730 in FL)

🟢
Initial NPI Registration & Enumeration February 02, 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: 1174595367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

6477 Indigo Bunting Pl

Bradenton, FL 342028246

Phone: 9417561003

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.