Amy Wallace, OTR-L
NPI 1467517466 · Occupational Therapist · South Lake Tahoe, CA
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amy Wallace, OTR-L is a Occupational Therapist provider in South Lake Tahoe, CA (NPI 1467517466).
Provider details
- NPI number
- 1467517466
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR-L
- Sex
- Female
- Sole proprietor
- No
- License
- 3665 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
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
Additional practice locations (6)
- 1139 3rd StSouth Lake Tahoe, CA 96150-3465Phone: (530) 543-5706Fax: (530) 541-4130
- 2170 South AveSouth Lake Tahoe, CA 96150-7026Phone: (530) 543-5896Fax: (530) 544-6512
- 1749 N Stewart St Ste 50Carson City, NV 89706-2574Phone: (775) 348-8800Fax: (833) 687-1419
- 935 Mica Dr Ste 13Carson City, NV 89705-7181Phone: (775) 783-3065Fax: (775) 267-1829
- 780 Vista Blvd Ste 100Sparks, NV 89434-6677Phone: (775) 348-8800Fax: (833) 687-1419
- 155 Highway 50 Fl 2Stateline, NV 89449-9816Phone: (775) 589-8953Fax: (775) 589-8920
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2023-07-24
- Certified
- 2023-07-20
Frequently asked questions
- What is Amy Wallace's NPI number?
- Amy Wallace's National Provider Identifier (NPI) is 1467517466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amy Wallace's specialty?
- Amy Wallace is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Amy Wallace located?
- Amy Wallace's practice location on file with NPPES is 10539 Professional Cir, South Lake Tahoe, CA 96150-3828.
- What is Amy Wallace's phone number?
- The practice phone number listed in the NPPES registry for Amy Wallace is (775) 348-8800.
- Does Amy Wallace accept Medicare?
- Amy Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amy Wallace's NPI active?
- Yes — Amy Wallace's NPI (1467517466) is active in the NPPES registry as of the last update on 2023-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.