Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821617663 Individual Practitioner Male Practitioner

Blake Wallace

Occupational Therapy Assistant • Germantown, TN

Professional Overview & Biography Verified Profile Summary

Blake Wallace is a registered healthcare professional specializing in Occupational Therapy Assistant in Germantown, TN. Practice services are available at 7820 WALKING HORSE CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7820 Walking Horse Cir

Germantown, TN 381382143

Telephone 9017522500
Associated Practice Facility / Clinic
🏢 The Village Doctor, Llc Facility NPI 1790764579

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Germantown, TN

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

Practicing in Germantown, TN (1028 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: 2020-04-12
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License MS TA3704

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
Shannnon Smith , PTA

Physical Therapy Assistant

NPI 1093348146

Physical Therapist Assistant

Lauren Howland

Occupational Therapy Assistant

NPI 1174156335
Kerri Williams

Physical Therapy Assistant

NPI 1295325116
Carly Bauer

Physical Therapist

NPI 1598462111
Sarah Orians

Speech-Language Pathologist

NPI 1659009785
Rachel Mcwhorter

Speech-Language Pathologist

NPI 1669185906

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2020

Registered at 7820 WALKING HORSE CIR, GERMANTOWN, TN 381382143 (Tel: 9017522500)

📍
Updated Business Mailing Address April 12, 2020

Registered at 150 EVANSVILLE RD, COLDWATER, MS 386186778 (Tel: 6625615655)

👤
Provider Name / Credentials Updated April 12, 2020

Recorded as BLAKE WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2020

Occupational Therapy Assistant (License #TA3704 in MS)

🟢
Initial NPI Registration & Enumeration April 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Blake Wallace. Be the first to share your experience!

Sign in to leave a review for Blake Wallace

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1821617663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2020
Last Update: April 12, 2020
Sole Proprietor: Yes

Mailing Address

150 Evansville Rd

Coldwater, MS 386186778

Phone: 6625615655

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.