Nicole Wallis
NPI 1629739206 · Occupational Therapist · Greenwood, IN
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Wallis is a Occupational Therapist provider in Greenwood, IN (NPI 1629739206).
Provider details
- NPI number
- 1629739206
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
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
4 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2022-01-05
- Last updated
- 2022-01-05
- Certified
- 2022-01-04
Frequently asked questions
- What is Nicole Wallis's NPI number?
- Nicole Wallis's National Provider Identifier (NPI) is 1629739206, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Wallis's specialty?
- Nicole Wallis is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicole Wallis located?
- Nicole Wallis's practice location on file with NPPES is 3000 N State Rd 135, Greenwood, IN 46143.
- What is Nicole Wallis's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wallis is (800) 777-7775.
- Does Nicole Wallis accept Medicare?
- Nicole Wallis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Wallis's NPI active?
- Yes — Nicole Wallis's NPI (1629739206) is active in the NPPES registry as of the last update on 2022-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.