Kelli Wallace, COTA
NPI 1649667353 · Occupational Therapy Assistant · Jacksonville, AR
Kelli Wallace, COTA is a Occupational Therapy Assistant provider in Jacksonville, AR (NPI 1649667353).
Provider details
- NPI number
- 1649667353
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- OT-A969 (AR)
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
11 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
- 2015-04-20
- Last updated
- 2015-04-20
Frequently asked questions
- What is Kelli Wallace's NPI number?
- Kelli Wallace's National Provider Identifier (NPI) is 1649667353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelli Wallace's specialty?
- Kelli Wallace is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelli Wallace located?
- Kelli Wallace's practice location on file with NPPES is 2701 T P White Dr, Jacksonville, AR 72076-2514.
- What is Kelli Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kelli Wallace is (501) 241-0410.
- Is Kelli Wallace's NPI active?
- Yes — Kelli Wallace's NPI (1649667353) is active in the NPPES registry as of the last update on 2015-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.