Marykelly Wallace, MOTR/L
NPI 1598372187 · Occupational Therapist · Dearborn, MI
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marykelly Wallace, MOTR/L is a Occupational Therapist provider in Dearborn, MI (NPI 1598372187).
Provider details
- NPI number
- 1598372187
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 5201010849 (MI)
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
- 2020-09-28
- Last updated
- 2025-02-14
- Certified
- 2025-02-14
Frequently asked questions
- What is Marykelly Wallace's NPI number?
- Marykelly Wallace's National Provider Identifier (NPI) is 1598372187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marykelly Wallace's specialty?
- Marykelly Wallace is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Marykelly Wallace located?
- Marykelly Wallace's practice location on file with NPPES is 1 Parklane Blvd Ste 200, Dearborn, MI 48126-4221.
- What is Marykelly Wallace's phone number?
- The practice phone number listed in the NPPES registry for Marykelly Wallace is (313) 846-2606.
- Does Marykelly Wallace accept Medicare?
- Marykelly Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marykelly Wallace's NPI active?
- Yes — Marykelly Wallace's NPI (1598372187) is active in the NPPES registry as of the last update on 2025-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.