Active NPI 1407663735 Individual Practitioner Female Practitioner

Wallis Petersen

Specialist/Technologist - Speech-Language Assistant • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Wallis Petersen is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Tulsa, OK. Practice services are available at 7608 E 91ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7608 E 91st St

Tulsa, OK 741336014

Telephone 9186630606

Associated Practice Facility / Clinic

🏢 Therapy Works Inc Facility NPI 1295771517

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Tulsa, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

23 Specialists

Practicing in Tulsa, OK (226 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

CMS Verified: 2024-12-11

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License OK CF667

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners

Chassie Collins

Speech-Language Pathologist

NPI 1013502988

Megan Trowe , COTA

Occupational Therapy Assistant

NPI 1023602349

Certified Occupational Therapy Assistant

Regan Hayworth

Speech-Language Pathologist

NPI 1023840881

Julie Crampton , PT

Physical Therapist

NPI 1033278627

Physical Therapist

Judy Ballard , SLP

Speech-Language Pathologist

NPI 1033305552

Speech-Language Pathologist

Mazie Carl

Specialist/Technologist - Speech-Language Assistant

NPI 1033928973

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 11, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2024

Registered at 7608 E 91ST ST, TULSA, OK 741336014 (Tel: 9186630606)

📍

Updated Business Mailing Address December 11, 2024

Registered at 7608 E 91ST ST, TULSA, OK 741336014 (Tel: 9186630606)

👤

Provider Name / Credentials Updated December 11, 2024

Recorded as WALLIS PETERSEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2024

Specialist/Technologist (License #CF667 in OK)

🟢

Initial NPI Registration & Enumeration December 11, 2024

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: 1407663735

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 11, 2024

Last Update: December 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7608 E 91st St

Tulsa, OK 741336014

Phone: 9186630606

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.