Raymond Wallace, COTA/L
NPI 1003490228 · Occupational Therapy Assistant · Broken Arrow, OK
Raymond Wallace, COTA/L is a Occupational Therapy Assistant provider in Broken Arrow, OK (NPI 1003490228).
Provider details
- NPI number
- 1003490228
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- 569 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2021-05-12
- Certified
- 2021-05-12
Frequently asked questions
- What is Raymond Wallace's NPI number?
- Raymond Wallace's National Provider Identifier (NPI) is 1003490228, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raymond Wallace's specialty?
- Raymond Wallace is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Raymond Wallace located?
- Raymond Wallace's practice location on file with NPPES is 6956 S 310th East Ave, Broken Arrow, OK 74014-5491.
- What is Raymond Wallace's phone number?
- The practice phone number listed in the NPPES registry for Raymond Wallace is (918) 230-8099.
- Is Raymond Wallace's NPI active?
- Yes — Raymond Wallace's NPI (1003490228) is active in the NPPES registry as of the last update on 2021-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.