IndividualActive
Andrea Perkins, COTA/L
NPI 1104089671 · Occupational Therapy Assistant · Wallace, NC
Provider details
- NPI number
- 1104089671
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 3448 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
647 Se Railroad St
Wallace, NC 28466-2091
Phone: (910) 285-9710
Street-level locationGet directions
Mailing address
647 Se Railroad St
Wallace, NC 28466-2091
Registry dates
- Enumerated
- 2008-07-05
- Last updated
- 2008-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.