Tracey Wallace, OT
NPI 1770638165 · Occupational Therapist · Canandaigua, NY
Tracey Wallace, OT is a Occupational Therapist provider in Canandaigua, NY (NPI 1770638165).
Provider details
- NPI number
- 1770638165
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- 018323 (NY)
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
19 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
- 2007-01-24
- Last updated
- 2014-01-22
Frequently asked questions
- What is Tracey Wallace's NPI number?
- Tracey Wallace's National Provider Identifier (NPI) is 1770638165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracey Wallace's specialty?
- Tracey Wallace is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Tracey Wallace located?
- Tracey Wallace's practice location on file with NPPES is 5415 N Bloomfield Rd, Canandaigua, NY 14424-7964.
- What is Tracey Wallace's phone number?
- The practice phone number listed in the NPPES registry for Tracey Wallace is (585) 394-9510.
- Is Tracey Wallace's NPI active?
- Yes — Tracey Wallace's NPI (1770638165) is active in the NPPES registry as of the last update on 2014-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.