IndividualActive
Theresa Wallis
NPI 1639509862 · Rehabilitation Psychologist · Shawnee, OK
Theresa Wallis is a Rehabilitation Psychologist provider in Shawnee, OK (NPI 1639509862).
Provider details
- NPI number
- 1639509862
- Entity type
- Individual
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
201 N Broadway Ave
Shawnee, OK 74801-6917
Phone: (580) 748-0342
Fax: (405) 386-3213
Street-level locationGet directions
Mailing address
10800 Eastway
Mcloud, OK 74851-8566
Registry dates
- Enumerated
- 2013-11-25
- Last updated
- 2013-11-25
Frequently asked questions
- What is Theresa Wallis's NPI number?
- Theresa Wallis's National Provider Identifier (NPI) is 1639509862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Wallis's specialty?
- Theresa Wallis is listed in the NPPES registry with a primary specialty of Rehabilitation Psychologist (Behavioral Health & Social Service Providers).
- Where is Theresa Wallis located?
- Theresa Wallis's practice location on file with NPPES is 201 N Broadway Ave, Shawnee, OK 74801-6917.
- What is Theresa Wallis's phone number?
- The practice phone number listed in the NPPES registry for Theresa Wallis is (580) 748-0342.
- Is Theresa Wallis's NPI active?
- Yes — Theresa Wallis's NPI (1639509862) is active in the NPPES registry as of the last update on 2013-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.